Lala Ram Sarup Institute of
Tuberculosis and Respiratory
Diseases
(Autonomous Institute under Ministry of Health and
Family Welfare, Govt. Of India)
ANNUAL REPORT
2007-2008
Sri Aurobindo Marg, New Delhi-110 030.
1
PREFACE
LRS Institute of Tuberculosis (TB) & Respiratory Diseases has been engaged in the
service of the Nation since 1952, when the then Health Minister Raj Kumari Amrit Kaur asked
the Tuberculosis Association of India (TAI) to run a TB hospital here. Ministry of Health &
Family Welfare, Government of India took over it as an autonomous Institute in 1991 with
specific objectives of developing tertiary care facilities for patients suffering from respiratory
diseases and for supporting the National Tuberculosis Control Programme (NTCP).
The Institute has been constantly engaged in achieving its main objective of supporting
the National Tuberculosis Control Programme through implementation of recommended
Directly Observed Therapy – Short Course (DOTS) strategy within its area, through provision
of training to various health personnel and through carriage of world class research on private
public collaboration in TB control, which had become mandatory because a large section of
country’s population approaches the private sector first for relief of symptoms. Private
practitioners of the Institute’s area and their staff were sensitised to the principles of Revised
National Tuberculosis Control Programme (RNTCP) and tools prepared in this regard as a
result of which the programme implementation has been effected in private sector, in a
manner, similar to that being carried in public sector. The Institute also played a key role in
the development of guidelines of pediatric TB case management with participation of
pediatricians, tuberculosis experts and TB control programme managers. These guidelines
are being adopted at the national level.
A new state-of-art Out Patient Department (OPD) complex has streamlined the
registration process, provided the space for emergency case management, simplified the
consultation and diagnostic work-up of patients and facilitated the implementation of RNTCP
as well as the conduct of various teaching and training activities for medical and para-medical
students. Availability of an indoor facility and a state-of-art Respiratory Intensive Care Unit
(ICU) ensures that all seriously ill patients suffering from TB or respiratory diseases get
admitted for management under the guidance of specialists and trained health staff. Similarly,
existence of a Thoracic Surgical Department facilitates the conduct of various operative
interventions on patients having persistent symptoms despite the best of conservative
medical treatment. With aim to establish itself as an Institute of international repute, we
continue to expand our network of service provision. Patients having sleep related respiratory
disorders are being diagnosed in sleep lab and given management options. Newer diagnostic
facilities like Polymerase Chain Reaction and Gas Liquid Chromatography are likely to
become operational soon. Efforts are on to strengthen every department of the Institute with
most modern technology available. We are constantly updating and streamlining all these
facilities.
Over the years, numerous research projects have been carried out in the various sub
specialties of respiratory diseases within the institute like the departments of RNTCP,
Microbiology, intensive care and so on. Other research assignments on the vital health issues
of current interest like air pollution, multi drug resistance (MDR) and human immunedeficiency viral infection (HIV) are coming up within the institute, whose results are likely to
benefit the entire country in the times to come.
Other achievements of the Institute are as under:
 Department of Microbiology participated in the External Quality Assurance (EQA)
Testing (proficiency testing) programme of CDC Atlanta, USA and has been
accredited by them. The overall efficiency for drug sensitivity testing of anti TB drugs
is 98%.
2

Department of Microbiology has been upgraded and designated as one of the National
Reference Laboratory (NRL) under RNTCP for EQA in sputum-smear microscopy.
 LRS Institute has started a Pilot Project of DOT Plus for MDR cases under RNTCP.
 GLC has approved LRS as the First DOT Plus site in the country.
 A new Thoracic Surgical Centre is providing state of art-thoracic surgical treatment
and can take up challenges like lung transplant in the near future.
 A state of the art BSL-III laboratory was established in the microbiology department.
 New MDR-TB wards have been constructed with latest technology and are ready to be
commissioned soon.
 Institute has started a programme of providing comprehensive management facilities
to patients with Lung Cancer & a rehabilitation programme for patients with various
respiratory diseases including pulmonary TB.
 A newsletter of the Institute is now being published regularly every three months for
circulation among the professional colleagues.
 A number of high end equipments for patient care and research were procured for
various departments.
 A block of 30 staff quarters (Type-A) has been constructed.
We record our grateful and sincere thanks to members of our Governing Body,
Finance Committee and other committees for their help and guidance in the Institute’s work.
PROF (DR.) D. BEHERA
DIRECTOR
3
GOVERNING BODY MEMBERS
1. Sri Naresh Dayal
Secretary (Health & Family Welfare)
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Chairman
2. Dr. R.K. Srivastava
Director General Health Services
Directorate General of Health Services
Nirman Bhawan
New Delhi
3. Sri Deepak Gupta
Additional Secretary (DG)
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Vice Chairman
Alternative Vice Chairman
4. Sri Raghubir Singh
Additional Secretary & FA
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
5. Sri Debasish Panda
Joint Secretary
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
6. Smt A.S. Khatwani
Director (IF)
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
7. Dr. L.S. Chauhan
DDG (TB)
Directorate General of Health Services
Nirman Bhawan, New Delhi
Member
8. Dr. A. Nanda
Director (CGHS)
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
4
9. Lt. Col. (Dr.) A.R.N. Setalvad
Secretary (MCI)
Medical Council of India
Pocket- 14 , Sector - 8, Dwarka Phase -1
New Delhi – 110077, India
Member
10. Dr.(Ms) Kamlesh Kalra
Medical Commissioner (ESIC)
Employees State Insurance Corporation
Kotla Road, New Delhi
Member
11. Dr. M.M. Singh
Vice Chairman
Tuberculosis Association of India
3-Red Cross Road
New Delhi
Member
12. Dr. Brig. S.L. Chaddha
Hony. General Secretary
Delhi Tuberculosis Association
9 Institutional Area
Lodhi Road, New Delhi – 110 003
Member
13. Dr. V.K. Arora
C-151, Sector – 51
Kendriya Vihar, Noida
Uttar Pradesh
Member
14. Dr. S.K. Jindal
Member
Prof. & Head,
Department of Pulmonary Medicine
Postgraduate Institute of Medical Education and Research,
Chandigarh-160 012
15. Prof. P. Kar
Dean, Faculty of Medicine,
University College of Medical Sciences
Shahdara,
Delhi - 110095
Member
16. Prof. Snehlata Tandon
Head, Department of Social Work,
University of Delhi
3, University Road
Delhi-110 007
Member
5
17. Dr. S.K. Sharma
Prof. & Head
Department of Medicine,
AIIMS, New Delhi - 110029
Member
18. Dr. C.A.K. Yesudian
Prof. & Dean (Research & Development)
Tata Institute of Social Sciences
PO Box 8313, Deonar, MUMBAI – 400 088
Member
19. Sri D.S. Negi
Principal Secretary (H),
Govt. Of NCT
9th Level, A-wing,
Delhi Secretariat,
New Delhi -110 002
Member
20. Dr. D. Behera
Director
LRS Institute of TB & Respiratory Diseases
New Delhi
6
Member Secretary
STANDING FINANCE COMMITTEE MEMBERS
1. Sri Deepak Gupta
Additional Secretary (DG)
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Chairman
2. Sri Raghubir Singh
Additional Secretary & FA
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
3. Sri Debasish Panda
Joint Secretary
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
4. Dr. L.S. Chauhan
DDG (TB)
Directorate General of Health Services
Nirman Bhawan, New Delhi
Member
5. Smt A.S. Khatwani
Director (IF)
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
6. Dr. A. Nanda
Director (CGHS)
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
7. Dr. D. Behera
Director
LRS Institute of TB & Respiratory Diseases
New Delhi
Convenor
7
ESTATE COMMITTEE MEMBERS
1. Sri Debasish Panda
Joint Secretary
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Chairman
2. Dr. L.S. Chauhan
DDG (TB)
Directorate General of Health Services
Nirman Bhawan, New Delhi
Member
3. Smt A.S. Khatwani
Director (IF)
Ministry of Health & Family Welfare
Nirman Bhawan, New Delhi
Member
4. Senior Architect
Directorate General of Health Services
Nirman Bhawan, New Delhi
Member
5. Chief Engineer (NDZ) 1, CPWD
Member
6. Dr. D. Behera
Director
LRS Institute of TB & Respiratory Diseases
New Delhi
Convenor
8
ANNUAL REPORT CONTENTS
Page No
1. Background of Institute
1.1
Introduction
1.2
Treatment
1.3
Teaching & Training
1.4
Manpower
2. Out Patient Department
2.1
New Registration
2.2
Total TB cases diagnosed referred & registered
2.3
Disease wise distribution of registered TB cases
2.4
Sputum wise distribution of Pulmonary TB Cases
2.5
Sex-wise Distribution of EPT cases
2.6
Site distribution of EPT cases
2.7
Age & Sex distribution of registered TB cases
2.8
Total cases in OPD (OPD load)
2.9
Paediatric OPD
2.10 Specialised Clinics (Non-TB cases)
3. Indoor Patient Data
3.1
Total Indoor Admissions
3.2
Age & Sex distribution of admitted patients
3.3
Outcome of Admitted cases
3.4
Observations on Indoor Cases
4. Departments and Sections of the Institute
4-A. Departments
4.1
Department of Anaesthesia
4.2
Department of Bio-Chemistry
4.3
Department of Epidemiology & Public Health
4.4
Department of Hospital Administration
4.5
Department of Internal Medicine
4.6
Department of Microbiology
4.7
Department of Molecular Medicine & Bio-technology
4.8
Department of Paediatric
4.9
Department of Pathology
4.10 Department of Physiology
4.11 Department of Radiology
4.12 Department of TB & Respiratory Diseases
4.13 Department of TB Control & Training
4.14 Department of Thoracic Surgery and Surgical Anatomy
9
4-B.
Sections
4.15
4.16
4.17
4.18
4.19
4.20
4.21
4.22
4.23
4.24
4.25
4.26
4.27
Air Pollution Related Diseases Diagnostic Centre
Anti-Retroviral Therapy Centre
Biostatistics Section
Computer Section
Fibre-Optic Bronchoscopy Laboratory
Health Education Section
Library
Nursing Section
Physiotherapy Section
Respiratory Intensive Care Unit
Sleep Laboratory
Voluntary Counseling and Testing Centre
Yoga Centre
5.0
Research activities
5.1
Studies being carried out under DNB courses
5.2
Researches Other Than DNB Course
5.3
Awards and Prizes
6.0
Publications
6.1
Papers and Articles Published
7.0
Presentations during Conferences/Seminars/CMEs/Workshops
7.1. Outside Country
7.2. Within Country
8.0
Conferences/Seminars/CMEs/Workshops attended
8.1.
8.2.
9.0
Outside Country
Within Country
List of Committees
9.1a Lower Purchase Committee
9.1b Higher Purchase Committee
9.1c Standing Purchase Committee
9.2
Technical Evaluation Committee
9.3
Inspection Committee - General Store
9.4
Inspection Committee - Medical Store
9.5
Tender/Quotation Opening Committee
9.6
Cultural and Sports Committee
9.7
Estate Committee
9.8
Medical Board
9.9
Medical Re-imbursement Board
9.10 Library Committee
9.11 Condemnation Committee
9.12 Training Committee
10
9.13
9.14
9.15
9.16
9.17
9.18
9.19
9.20
9.21
9.22
9.23
9.24
9.25
9.26
9.27
9.28
9.29
9.30
9.31
10.0
Hospital Infection Control Committee
Hospital Waste Management Committee
Hospital Disposal Committee
Transport Repair Committee
Equipment Repair Committee
Annual Report Committee
Committee to look into the complaints of sexual harassment
Committee for betterment of the services to be taken from the canteen
contractor
Official Language Implementation Committee
Welfare Committee
House Allotment Committee
Committee for Advance on Establishment Matters
Public Grievance Committee
Research Committee
Ethical Committee
Disaster Management Committee
College Council
PG Committee
Medical Education Unit
Other Activities of Institute
11
ANNUAL REPORT 2007-2008
(1.4.2007-31.3.2008)
1. BACKGROUND OF INSTITUTE
1.1
Introduction
LRS TB hospital was established by TB Association of India in 1952. The
hospital was upgraded into an autonomous institute in 1991 by Govt. of India. The
Institute was renamed as LRS Institute of Tuberculosis & Respiratory Diseases as an
autonomous institute under the Ministry of Health & Family Welfare, Government of
India.
It is now an apex institute of the country in the field of tuberculosis and
respiratory diseases. The Institute is well recognised for diagnosis, treatment,
teaching, training and research in the field of tuberculosis and respiratory diseases.
The Institute is registered as a society under the Societies Registration Act,
1960 (XXI) The Union Minister of Health & Family Welfare is the President of the
Institute and the Union Secretary (Health) is the Chairman of the Governing Body.
Director General Health Services is the Vice-Chairman and the Additional Secretary
(Health) is the Alternative Vice-Chairman of the Governing Body of the Institute. The
Director is the Chief Executive Officer.
The Institute is spread over an area of 25 acres of land in South Delhi and has
various departments to carry out the activities in accordance with the objectives of the
institute. These departments are :1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
Department of Anaesthesia
Department of Bio-Chemistry
Department of Epidemiology & Public Health
Department of Hospital Administration
Department of Internal Medicine
Department of Microbiology
Department of Molecular Medicine & Bio-technology
Department of Paediatric
Department of Pathology
Department of Physiology
Department of Radiology
Department of TB & Respiratory Diseases
Department of TB Control & Training
Department of Thoracic Surgery and Surgical Anatomy
12
1.2
Treatment
1.2.1 Outdoor
The Institute runs a daily OPD and the registration is computerized. The
patients are registered as Area, Non area or Outsiders because the patients are not
only coming from the specified RNTCP area of the institute but also from whole Delhi
and adjoining states like Haryana, Rajasthan, UP, Bihar etc. Besides the routine OPD,
the Institute runs specialised clinics to focus on specific areas in Respiratory Medicine.
1.2.2 Indoor treatment facility
The Institute has 520 beds for indoor treatment to the serious patients for the
treatment of tuberculosis and respiratory diseases. These beds are distributed in 16
wards and ICU.
Distribution of total beds in the Institute
TB
MDR Non
Surgical Child
TB
ren
230
40
95
104
34
ICU Sleep Emerg
Lab
ency
14
1
2
TOTAL
520
Out of these beds, 40 beds (2 wards) were under renovation. Therefore, there
were 480 beds functioning during the year.
1.3
Teaching & Training
The Institute provides teaching and guiding facilities for various post- graduate
(M.D. / PhD) courses of various Universities. The Institute has been recognised for
imparting training for the award of degree by Diplomate of National Board in
Respiratory Diseases since 1999. There are 18 students undergoing training at
present.
The training is also imparted in the management of tuberculosis to the nursing
students from Rajkumari Amrit Kaur College of Nursing and the trainee health visitors
from New Delhi TB Centre every year. The Institute is actively involved in the training
of various medical and paramedical personnel who visit from other states of our
country, in implementation of strategies under Revised National Tuberculosis Control
Programme. The Institute is actively involved in organising Continuing Medical
Education programme (CME) on different aspects of diagnosis and management of
tuberculosis and respiratory diseases.
1.4
Manpower
At present, the Institute has 37 Group-A, 45 Group-B, 188 Group-C and 178
Group-D Staff in position. In addition, there are 13 senior residents & 21 junior
residents working on tenure basis.
Posts
No.of Sanctioned Staff
Present Staff strength
Group
A
40
37
Group
B
45
45
13
Group
C
224
188
Group
D
203
178
SR
JR
Total
13
13
21
21
546
482
2.0
OUT PATIENT DEPARTMENT
The Institute provides treatment for patients within the domiciliary area. Patients also
visit from non area within Delhi and neighbouring states (outsiders). Further the
Institute has implemented RNTCP within domiciliary area through DOT cum
microscopy centres and only DOT centres.
2.1
New Registrations (Chest Symptomatic)
A total of 33937 chest symptomatics attended the LRS-OPD and 4565
attended the DOTS centres OPD. This constituted a total of 38502 chest
symptomatics under LRS Institute.
Out of 33937 patients, who came at the LRS-OPD, 9423(28%) came from the
LRS specified area, 16513(49%) from Non-Area and 8001(23%) from outside Delhi as
shown in table-1. This indicates that about 73% (49% + 24%) of the patients who
attend the LRS-OPD are from Non Specified area from Delhi or from out side Delhi.
Table-1 :
Chest Symptomatics (NEW OPD registrations)at LRS-OPD
LOCALITY
Specified area
of the Instt.
Beyond
specified area of
the Instt.
Symptomatics
Symtomatics visited RNTCP DOTS centres directly.
4565
Patients from DOTS
area visited LRSOPD directly.
33937
NON AREA
OUT SIDE from Delhi
Total symptomatics
2.2
9423
28%
16513
49%
8001
23%
38502
Total TB Cases diagnosed, referred & registered at LRS-OPD
The patients who come to the Institute for seeking treatment are investigated
and after confirmed diagnosis are referred to their respective DOTS centres or chest
clinics for further treatment of tuberculosis.
Out of 33937 symptomatics, a total of 5719(17%) were diagnosed at LRS OPD
as suffering from tuberculosis (table-2). Out of these, 5047(88%) were referred out
from LRS OPD to LRS DOTS Centres or to Chest Clinics in Delhi and neighbouring
states. Remaining 672(12%) were registered at LRS-OPD for further treatment and
follow up of their illness of a serious nature belonging to Non Area and Outside Delhi.
Among 5047 TB cases who were referred out, about 1324(26%) were referred
to LRS-DOTS centres and 2685(53%) to non-area chest clinics in Delhi and remaining
1038(21%) to outside Delhi Chest Clinics.
Among the 672 TB cases, who were registered at LRS-OPD for follow up and
treatment, 332(49%) were from outside Delhi and 340(51%) were from Non area in
14
Delhi. All area cases, who came to LRS OPD were investigated and after diagnosis
they were referred back to LRS-DOTS centres for follow up treatment except seriously
ill patients, who needed hospitalisation.
Table-2 : Total TB cases Diagnosed, Referred and Registered out of total new symptomatics
Patients visited
from
Symptomatics
only at LRS
OPD
TB
cases
registered in
TB registers
for follow up
treatment at
LRS-OPD
TB cases referred
out from LRS
Institute
after
diagnosis to their
respective chest
clinics for DOTS
treatment (Patients
not registered in
LRS TB registers)
TB
cases
diagnosed at
LRS -OPD
Percentage of TB
cases diagnosed
out
of
total
Symptomatics
(i)
(ii)
(iii)
(iv)=(ii)+(iii)
(iv)/(i)%
Area
(from specified
area of the
Instt.)
9423
All area
cases were
referred to
DOTS
centres
1324
1324
14.1%
Non Area
(from Non
specified area
of the Instt.)
16513
340
2685
3025
18.3%
Outsider
(from outside
Delhi)
8001
332
1038
1370
17.1%
33937
672
5047
5719
16.9%
TOTAL
15
Table-3 shows TB patients referred to DOT centres and neighbouring states for further
treatment after diagnosis at LRS of 5047 patients 4682 (92%) were adults, whereas the
remaining 365(8%) were children.
Table-3 : TB Patients referred to DOTS centres and neighbouring states after diagnosis at LRS
Details
Adults
Sp+ve
a)
Sp-ve
EPT
Sp+ve
Sp-ve
TOTAL
EPT
DOTS patients guided and referred to the LRS-DOTS centres:
Those who came
directly to LRS-OPD
Those who were already
registered at DOTS
centres and referred to
LRS-OPD
b)
Children
567
262
345
21
54
69
1318
2
2
2
0
0
0
6
Patients guided and referred to the Other- DOTS centres in Delhi and neighbouring states:
Referred to NON AREA
DOTS centres
1259
615
630
24
58
99
2685
Referred to
neighbouring states
(OUT SIDE Delhi)
655
188
155
9
16
15
1038
Total patients referred from LRS:TOTAL
2483
1067
1132
54
128
183
5047
%
49%
21%
22%
1%
3%
4%
100%
The flow chart shows the distribution of symptomatics and cases diagnosed and
referred after diagnosis from the Institute during the year.
16
Insert FLOW CHART here
17
2.3
Disease wise distribution of registered TB cases
Among the total 1729 TB cases, pulmonary TB was seen in 1169(68%) and
extra pulmonary TB (EPT) in 560(32%) in DOTS centres, whereas in LRS, out of 672
TB cases, pulmonary TB (PTB) was seen in 569(85%) and extra pulmonary in
103(15%) patients (table-4).
It is observed that among the total 1729 TB cases registered under DOTS
Centre, 1557(90%) were adults and 172(10%) were children, whereas in LRS-OPD,
among the total 672 TB cases registered, 653(97%) were adults and 19(3%) were
children.
Table-4 : Disease wise Distribution of registered TB cases
TB cases registered
from (Locality)
PT
EPT
Children
Adult
Children
Adult
Children
Non Area
8
265
2
65
10
330
340
Outsider
6
290
3
33
9
323
332
Sub Total (LRS OPD)
14
555
5
98
653
672
569
DOTS(RNTCP)
Centres Treatment
(AREA cases)
TOTAL (LRS+DOTS)
2.4
Total TB Cases
1099
103
70
458
560
1738
663
19
Total
672
102
1169
Adult
1557
172
1729
1729
2401
Sputum wise distribution of pulmonary tuberculosis cases
It is observed from table-5 that among the total 569 pulmonary TB cases
registered in LRS, 383(67%) were sputum positive and 186(33%) were sputum
negative, whereas in DOTS Centre, out of 1169 pulmonary TB cases, 794(68%) were
sputum positive and 375(32%) were sputum negative.
18
Table-5 : Sputum wise Distribution of registered Pulmonary Tuberculosis Cases
Patients from
Adults
Male
Children
Female
Male
Sputum
+ve
Sputu
m -ve
Total
Female
Pos
Neg.
Pos.
Neg.
Pos.
Neg
Pos
Neg.
Non Area
136
60
50
19
1
1
3
3
190
83
273
Outsider
151
71
40
28
1
1
1
3
193
103
296
287
131
90
47
2
2
4
6
383
186
569
67%
33%
100%
794
375
1169
68%
32%
100%
1177
561
1738
Sub Total
555
DOTS(RNTCP)
525
202
14
242
130
8
13
19
1099
TOTAL(LRS+
DOTS
812
333
30
70
332
177
10
15
23
36
2.5 Sex-Wise distribution of Extra-pulmonary Tuberculosis cases
The sex-wise distribution of EPT cases in adults and children is shown in table-6. EPT
cases are proportionately more in females in DOT centres as compared to LRS (45% vs
29% respectively).
Table-6 : Sex-wise Distribution of registered Extra Pulmonary Tuberculosis Cases
Patients visited from
ADULTS
CHILDREN
TOTAL
Male
Female
Mc
Fc
Male
Female
Total
NON-AREA
45
20
1
1
46
21
67
OUTSIDER
25
8
2
1
27
9
36
TOTAL (LRS)
70
28
3
2
73
30
103
251
560
98
DOTS (RNTCP)
TOTAL
(LRS+DOTS)
259
5
199
50
52
458
102
556
107
19
103
309
560
663
20
2.6 Site distribution of Extra pulmonary Tuberculosis cases
It is observed from table -7 that Lymphadenitis, Pleural Effusion, Pyopneumothorax,
and Empyema account for majority of the EPT cases in LRS-OPD, whereas the former
two sites account for the majority at DOT Centres.
Table-7 : Site Distribution of EPT Cases
Sites of EPT cases
LRS OPD
DOTS centres
No.
%
No.
%
Lymphadenitis
17
17%
292
52.1%
Pleural Effusion
30
29%
171
30.5%
Empyema
11
11%
-
-
Pneumothorax
1
1%
-
-
Pyopneumothorax
23
22%
-
-
Hydropneumothorax
5
5%
-
-
Abdominal TB
4
4%
45
8.0%
Skeletal (Bone/Joint) TB
-
-
22
3.9%
Genital TB( Endometritis/Urogenital)
-
-
5
0.9%
Meningeal
-
-
15
2.7%
Milliary
5
5%
-
-
Lupus Vulgaris
-
-
2
0.4%
Eye TB
-
-
2
0.4%
Skin TB
-
-
3
0.5%
Breast TB
-
-
2
0.4%
Others
7
7%
1
0.2%
103
100%
560
100%
TOTAL EPT cases
21
2.7 Age & Sex distribution of registered TB cases
It is seen from table-8 that majority of the paediatric cases are below 10 years in
DOTS Centres whereas the trend is reverse in the LRS-OPD. It is also observed that in
adults majority of the cases were in 15-34 years of age group (the most economically
productive age group) in both DOT Centres and LRS.
Table-8 :Age & Sex Distribution of Registered TB Cases
L.R.S. OPD cases
C
H
I
L
D
R
E
N
M
F
M
F
Sub
Total
(i)
1
1
1
1
4
9
5
8
11
33
37
6-10
0
2
0
0
2
4
8
28
17
57
59
11-14
3
7
2
1
13
8
36
14
24
82
95
Sub total(a)
4
10
3
2
19
21
49
50
52
172
191
15-24
77
34
20
11
142
231
149
96
91
567
709
25-34
100
41
21
11
173
204
117
87
61
469
642
35-44
95
29
9
4
137
128
40
41
25
234
371
45-54
73
21
9
0
103
93
30
21
15
159
262
55-64
49
10
10
2
71
38
16
11
4
69
140
>=65
24
2
1
0
27
33
20
3
3
59
86
Sub Total (b)
418
137
70
28
653
727
372
259
199
1557
2210
TOTAL (a)+(b)
422
147
73
30
672
748
421
309
251
1729
2401
1729
2401
A
D
U
L
T
S
Age
group
<= 5
PT
DOTS Centres cases
569
EPT
103
672
22
PT
EPT
M
F
M
1169
560
TOTAL
(i)+(ii)
F
Sub
Total
(ii)
2.8 Total cases in OPD (OPD Load)
The total number of cases who attend the LRS OPD constitute mainly four groups:
(i)New registration (ii) Subsequent visits for diagnosis (iii) Follow up visits of TB cases
and (iv) Follow up visits of Non-TB patients.
Table-9 : Total Cases in OPD (OPD Load)
No
Details of case visits
Adults
Children
M
F
MC
FC
Total
%
I
New OPD registration
20265
10369
1707
1410
33751
34.2%
Ii
Subsequent for diagnosis
30062
16266
2624
1607
50559
51.2%
Iii
Follow up visits made by TB
cases after diagnosis
9151
3622
169
151
13093
13.3%
Iv
Follow up visits made by
Non-TB cases after
diagnosis
905
326
13
25
1269
1.3%
60383
30583
4513
3193
98672
100.0%
TOTAL cases in the OPD
No. of Working OPD days in the year
299
Average number of New cases per day
113
Average number of total cases in OPD per day (OPD load)
330
As per table-9, a total of 98672 cases came in the OPD during this year. Of these,
33751 (34%) were new symptomatics, 50559(51%) patients made subsequent visits for
diagnosis, 13093(13%) patients made follow up visits as TB cases and 1269(1.3%)
came for follow up of Non-TB diseases.
During the year, OPD worked for 299 working days. It is observed that on average, a
total of 330 cases per day came to the OPD including 113 as new registrations.
2.9 Paediatric OPD
Paediatric patients are seen in a Paediatric OPD daily from Monday to Saturday. The
T.B. patients from specified area of the Institute are referred to the respective DOT
centres while the others are treated at LRS OPD. The data is shown from Table 3 to
Table 9. A total number of 3643 tuberculin tests were done during the year as shown
in table-10.
23
Table-10 :
2.10
Number of Tuberculin tests done
<1 yr
1-2
3-5
6-10
11-14
>14
Total
Total done
0
129
618
512
477
1907
3643
Total read
0
114
571
471
444
1804
3404
Positive
0
59
301
267
295
1150
2072
Negative
0
55
271
214
149
654
1343
PPD not read
0
17
47
41
33
103
241
Specialized Clinics (NON TB cases )
The Institute has various specialised clinics, which are held periodically .The data is
given in Table -11.
Table – 11 : Specialized Clinics
*
SNo
Name of the Clinic
With Effect From
I
Sleep Clinic
17.11.2006
ii
Pulmonary Rehabilitation
17.11.2006
Iii
Smoking Cessation
17.11.2006
iv
Empyema and Surgical patients
17.11.2006
v
ART Centre
December 2005
vi
Lung Cancer Clinic *
17.05.2007
vii
Allergy & Immuno-therapy clinic**
31.03.2008
Total
Number of
patients
944
Lung Cancer Clinic has been started under the charge of Prof. (Dr.) D. Behera.
The team also comprises of Dr. Anand Jaiswal (Sr. Chest Specialist), Dr. J. K. Saini (Chest
Specialist) and a Senior Resident. The clinic starts at 9.30 AM every Tuesday (Room No. 120
OPD 1st Floor). All indoor and outdoor cases of lung cancer are examined and evaluated by
the team and decisions for chemotherapy, surgery or referral for radiotherapy taken on case
24
by case basis as per the Institute's guidelines. The chemotherapy is administered by the unit
under the guidance of Prof. D. Behera. For surgical interventions the cases are referred to
the Head of Thoracic Surgery Dr. R. K. Dewan.
** Allergy & Immunotherapy Clinic was inaugurated on 31.03.2008 by Director, LRSI. Dr. A.K.
Jain, CMO is the In-charge of clinic, which is run on Tuesdays and Fridays from 9 A.M. to 1
P.M. The clinic has been started to take special care of the patients with allergic bronchial
asthma, allergic rhinitis and associated allergic diseases. Allergy skin testing is done free of
charge and vaccine is recommended accordingly.
3.0
INDOOR PATIENT DATA
Those patients requiring hospitalisation are admitted in the Institute for the
treatment of tuberculosis and other respiratory diseases. These hospitalised patients
include cases of multi-drug resistant TB, emergencies such as haemoptysis,
pneumothorax etc., surgical and seriously ill patients of respiratory diseases, cases
with diagnostic problems and patients requiring Intensive Care management for
respiratory diseases.
3.1
Total Indoor Admissions
During the period from April 2007 to March 2008, a total of 5029 patients were
admitted and 4879 were discharged.
3.2
Age & Sex distribution of Admitted Cases
Table-12 shows that among the total 5029 admissions, 4836 were adults and
193 were children. Amongst the hospitalised adults, the maximum number of patients
were in the productive age group of 25 to 44 years.
Table-12: Age & Sex Distribution of the Admitted & Discharged
Age groups
(Yrs.)
CHILDREN
Admission
Male
Female
Total
Admission
Male
Female
Total
Discharge
0-5
30
16
46
33
16
49
6-10
33
22
55
28
22
50
11-14
37
55
92
32
50
82
100
93
193
93
88
181
15-24
467
289
756
441
284
725
25-34
628
284
912
617
284
901
Total children
ADULTS
Discharge
25
3.3
35-44
769
248
1017
760
231
991
45-54
797
199
996
776
191
967
55-64
558
148
706
542
146
688
>=65
344
105
449
325
101
426
Total Adults
3563
1273
4836
3461
1237
4698
TOTAL patients
3663
1366
5029
3554
1325
4879
Outcome of Admitted Cases :
Out of total 4879 treated indoor cases, 2426 (50%) were suffering from
pulmonary tuberculosis, 448(9%) had extra pulmonary tuberculosis and 2005(41%)
were suffering from non-tubercular disease. The outcome of these patients is given in
Table-13. It is observed that 12% of the patients died, 9% went Left Against Medical
Advice (LAMA), 5% were Discharge on Request (DOR), 3% absconded, 4% were
referred out and remaining 3221 (66%) were discharged after satisfactory treatment.
Table-13 :Outcome of Admitted cases
Outcome
Adults
Children
TOTAL
PT
EPT
NTB
PT
EPT
NTB
PT
EPT
NTB
Gran
d
Total
%age
i
Discharge
1417
277
1406
53
25
43
1470
302
1449
3221
66%
ii
LAMA
240
28
137
9
1
6
249
29
143
421
9%
iii
D.O.R.
134
17
101
5
0
4
139
17
105
261
5%
iv
Absconded
80
13
55
2
2
3
82
15
58
155
3%
v
Referred
59
33
114
5
2
6
64
35
120
219
4%
vi
Died
409
49
129
13
1
1
422
50
130
602
12%
TOTAL
2339
417
1942
87
31
63
2426
448
2005
4879
100%
58%
10%
48%
40%
14%
29%
50%
9%
41%
4698
181
4879
4879
3.4
Observations on Indoor Cases:
On analysing the data of the discharged cases, the following observations are made:
i
It is observed that 66% (45% Cat-II, 21% Others) of the hospitalised pulmonary TB
26
ii.
iii
iv
v.
vi
vii
viii
cases were put on retreatment regimens including reserve drugs, thereby
reflecting that most of the patients admitted are those who are defaulters and
failures and having difficulties of treatment compliance (Table 14).
Among the pulmonary TB cases, who were discharged after satisfactory treatment
from LRS (excluding LAMA, Absconded, DOR, Referred or Deaths)-[, and for
whom the sputum report was available, it is observed that 121 (about 14%) out of
863 sputum positive cases converted into sputum negative and 742 (about 86%)
remained positive at the time of discharge (Table-15). This could be because of a
shorter duration of admission of the patients. As soon as the treatment response
was observed clinically, the cases were discharged and referred to respective
DOTS centres for further treatment.
About 9% of the total TB cases had complications like pneumothorax, empyema,
lung abscess etc. (Table 16).
Among the 448 extra-pulmonary TB cases, majority had pleural involvement (66%)
followed by Abdominal (9.2%) and Milliary TB (6.5%) (Table 17).
Amongst the admitted non-TB chest cases, COPD and lung cancer constituted
23% of the cases each (Table 18).
Detection of HIV-cases has also increased in the Institute. These are mostly adult
males. HIIV was suspected in 1985 admitted patients, of whom,104 (10.6%) were
found to be HIV positive (Table 19).
The patients of PT put on treatment ,received 5% conventional treatment and 36%
SCC. Hospitalization of DOTS patients contributed 49% of TB cases and nearly
11% of the patients were on reserve drugs. (Table 20).
Among the total 525 cases treated in ICU , 306 were medical and 215 were
surgical cases. During the year, 70 deaths occurred in the ICU (Table 21).These
are included in the total deaths of the Institute.
Table-14 : Category-wise Distribution of PT and EPT Cases
Pulmonary TB cases
Category
Adults
Children
Extra Pulmonary TB cases
Total PT case
No.
Adults
Children
Percent
Total EPT cases
No.
Percent
Cat –I
766
52
818
34%
226
17
243
54%
Cat-II
1075
24
1099
45%
113
10
123
27%
Cat-III
10
1
11
0%
15
2
17
4%
Other than
CatI,II,III(Conventi
onal/Reserve
Drugs etc.)
488
10
498
21%
63
2
65
15%
2339
87
2426
100%
417
31
448
100%
TOTAL
27
28
Table-15 : Sputum Status of Pulmonary TB Cases at discharge (Excluding LAMA/DOR/Absconded
and Deaths) (April-2007- March-2008 ) (Indoor data-iv)
(a)
Total discharged PT cases
2874
(b)
Cases excluded from analysis (LAMA +DOR +Absconded +Referred
out+Deaths)
1404
(c)
Sputum report not available at discharge
371
(d)
Data analysed for Sputum status at admission and discharge {(d)=(a)(b+c)}
1099
Those who were Positive at Admission:
(863)
Number of patients who were Positive at admission and remained Positive at
Discharge
742
(86%)
Number of patients who were Positive at admission and converted to Negative at
Discharge
Those who were Negative at Admission:
121
(14%)
(236)
Number of patients who were Negative at admission and remained Negative at
Discharge
233
(98.7%)
Number of patients who were Negative at admission and became Positive at
Discharge
3
(1.3%)
29
Table-16 : Complications of Pulmonary Tuberculosis cases
Complications
Number of Patients
TOTAL
Percentage
Children
Adult
Pneumothorax
3
45
48
2.0%
Pyopneumothorax
3
83
86
3.5%
Empyema
1
30
31
1.3%
Lung Abscess
1
15
16
0.7%
No Complications
79
2166
2245
92.5%
Total
87
2339
2426
100.0%
Table-17: Distribution of Extra Pulmonary Tuberculosis Cases (EPT)
Type of cases
Children
Adults
Total
Number
Percent
i
Lymph Node
3
14
17
3.8%
ii
Pleural Effusion /Empyema
17
277
294
65.6%
iii
Abdominal Koch's
4
37
41
9.2%
iv
Milliary
1
28
29
6.5%
v
Pericardial Effusion
0
4
4
0.9%
vi
Skeletal (Bone & Joints)
2
12
14
3.1%
vii
Tubercular Meningitis(CNS)
0
13
13
2.9%
viii
Others
4
32
36
8.0%
31
417
448
100.0%
TOTAL
30
Table-18 : Distribution of Admitted Non Tubercular Cases
Types of Non Tuberculosis cases
Children
Adults
Total
Number
Percent
1
COPD
2
461
463
23%
2
Lung Carcinoma
1
461
462
23%
3
Interstitial Lung Disease
3
49
52
3%
4
Pneumonia
12
59
71
4%
5
Empyema (Non Tubercular)
5
116
121
6%
6
Bronchiectasis
6
139
145
7%
7
Corpulmonale
0
7
7
<1%
8
Pneumothorax
1
39
40
2%
9
Bronchial Asthma
6
24
30
1%
10
Lung Abscess
1
24
25
1%
11
Sarcoidosis
0
11
11
<1%
12
Tropical Pulm Eosin (TPE)
1
8
9
<1%
13
Others
25
544
569
28%
TOTAL
63
1942
2005
100%
31
Table-19 : Detection of HIV among the Admitted Suspects
HIV test Status
CHILDREN
ADULTS
PT
EPT
Non TB
TOTAL
Male
Female
Male
Female
Male
Female
Positive
1
0
0
0
1
1
3
Negative
9
6
3
5
8
4
35
Positive
52
16
11
3
17
2
101
Negative
329
94
97
39
210
77
846
391
116
111
47
236
84
985
TOTAL
Table-20 : Distribution of Cases on basis of Treatment
Pulmonary TB cases
Type of treatment
Children
Extra Pulmonary TB cases
Total PT case
Adults
No.
Child
ren
Adults
Total EPT cases
Percent
No.
Percent
Conventional
4
101
105
5%
0
49
49
11%
SCC
23
793
816
36%
6
164
170
39%
DOTS
53
1051
1104
49%
24
179
203
47%
Reserve Drugs
4
238
242
11%
1
8
9
2%
TOTAL cases put
on treatment
84
2183
2267
100%
31
400
431
100%
Treatment not
started due to early
Discharge/LAMA/
DOR/Absconded/
Referred out/Died
Before Treatment
started
3
156
159
0
17
17
TOTAL Cases
87
2339
2426
31
417
448
32
Table-21 : Details of I.C.U. Admissions
Total treated in ICU
TOTAL
306
525
Medical patients admitted (ADULTS)
Medical patient admitted (Paediatrics)
4
Surgical patients admitted
215
Cumulative No.of patients treated in rooms for critical care
1529
Cumulative No.of patients treated for intermediately care in High
Dependency Units (HDU)
2045
No. of Deaths in I.C.U.
70
4.2
Average bed occupancy in rooms for critical patients(total rooms =6)
Average Bed Occupancy in High Dependency Units (HDU) (total beds =8)
5.6
Average Bed Occupancy
9.8
(Total beds =14)
No. of patients on Invasive ventilator
77
No. of patients on Non Invasive ventilator
135
No. of ECG done
455
No. of ABG done
2130
No. of central lines put
16
33
4.0 VARIOUS DEPARTMENTS OF THE INSTITUTE
S. No.
4.1
4.2
4.3
4.4
4.5
4.6
4.7
4.8
4.9
4.10
4.11
4.12
4.13
4.14
Name of Departments
Department of Anaesthesia
Department of Bio-Chemistry
Department of Epidemiology & Public
Health
Department of Hospital Administration
Department of Internal Medicine
Department of Microbiology
Department of Molecular Medicine &
Bio-technology
Department of Paediatric
Department of Pathology
Department of Physiology
Department of Radiology
Department of TB & Respiratory
Diseases
Department of TB Control & Training
Department of Thoracic Surgery and
Surgical Anatomy
Name of the Head of
Department
Dr. Ashvini Kumar
Dr. Kumud Gupta
Dr. Khalid Umar
Khayyam
Dr. Rohit Sarin
Dr. Upasana Agarwal
Dr. V. P. Myneedu
Dr. V. P. Myneedu
Dr. Sangeeta Sharma
Dr. Kumud Gupta
Dr. Rupak Singla
Dr. Devesh Chauhan
Dr. Rupak Singla
Dr. Rohit Sarin
Dr. R. K. Dewan
4.1 Department of Anesthesia
Dr. Ashvini Kumar
Dr. Prakash Sharma
:
:
Head of Department
Anaesthetist
The department has a centrally air-conditioned, state of the art operation theater with
Laminar flow. The department provides services for pre anesthetic assessment, pre-operative
optimization and administration of anesthesia for various diagnostic and therapeutic
procedures. Acute pain management for patients undergoing procedures under anesthesia is
also undertaken. The department also has a pain clinic for management of chronic post
thoracotomy pain. Other activities like providing sterilization services and Oxygen supply to
the entire Institute are also undertaken by the department.
4.2 Department of Bio-Chemistry
Dr. Kumud Gupta
Senior Resident
:
:
Head of Department
:
Shared with department of pathology.
Department of Bio-Chemistry is well equipped with fully automatic Random Access
Biochemistry Analyzer and automatic electrolyte analyzer. The tests and data of department
is given in table 22.
34
Table-22 : Biochemistry tests done
SrNo
Type of tests
Number
% age
i
Blood Sugar
17255
13.2%
ii
Blood Urea
11488
8.8%
iii
S. Creatinine
11488
8.8%
iv
Total Bilirubin
12330
9.4%
v
Direct Bilirubin
12330
9.4%
vi
S.G.P.T.
12330
9.4%
vii
S.G.O.T.
12330
9.4%
viii
Alk PO4
12330
9.4%
ix
Protein
9625
7.4%
x
Albumin
8310
6.4%
xi
Uric Acid
1012
<1%
xii
Cholesterol
802
<1%
xiii
Electrolytes
9158
7.0%
130788
100.0%
Total Tests
Total Number of samples = 30655
4.3
Deptt. Of Epidemiology & Public Health
Dr. Khalid Umar Khayyam
Dr. Somdatta Patra
Dr. Neeta Singla
:
:
:
Epidemiologist and HOD
Senior Research officer (Epidemiology)
Research officer
Department is running RNTCP with the help of staff provide by STO, Delhi. It is
coordinating with Department of TB & Respiratory Diseases in provision of DOTS to all
categories of TB patients and also establishing a linkage to the RNTCP staff for continuation
of treatment at the patient’s doorsteps. Department is facilitating the RNTCP modular training
35
of DTOs and STOs from different parts of the country. It is involved in teaching of RNTCP
and TB epidemiology to DNB students from within and outside the Institute. It is also involved
in a regular RNTCP teaching programme for nursing staff of the Institute and for nursing
students from other Institute.
Department is running projects as mentioned below :



To assess the awareness about TB among the adult population attending the general
OPD at dispensaries with DOT centres.
Risk of TB among workers at tertiary level TB hospital.
A study on the overloading of tertiary care hospital with patients who can be treated at
the dispensaries level.
Department has been involved in many publications in international and national journals
and is regularly generating data of RNTCP for discussion in monthly statistical meetings.
LRS-RNTCP
Dr. Khalid U Khayyam
Dr. Neeta Singla
Dr. K.K Mathuria
:
:
:
District TB officer
Medical Officer TB Control
Medical Officer TB Control
Revised National Tuberculosis Control Programme was implemented in a phased
manner and the full fledged programme began in 1997. The programme uses the DOTS
strategy with the objective to achieve and maintain at least 85% cure rate of new sputum
smear positive and detection of at least 70% of such cases. Entire country was covered
under RNTCP in March 2006.
Delhi the capital and state of the country is divided into many districts. The south zone
district of 1.5 million population was offered to LRS Institute of TB & Respiratory Diseases for
implementation of the National Programme. LRS Institute established 21 designated
microscopy centres and a total of 34 DOT centres. The cure rates and case detection rates in
the area were much higher than national figures. The area was divided into three tuberculosis
units and the staff including STS, STLS, TBHV/DOT Providers and LTs, appointed by STO,
was posted by LRS Institute for an effective programme operation.
With the increase in population and migration of the people, the population in each
district also increased. A re-distribution of the area by STO resulted in emergence of a new
chest clinic like Malviya Nagar Chest Clinic. The area earlier with LRS – RNTCP was also
reallocated with some of being handed over to Malviya Nagar Chest Clinic in March 2007
which started functioning as an independent chest clinic.
Currently LRS – RNTCP is looking after the 1 million population of land area starting
from Ber Sarai to Shahbad Mohdpur (New Airport). This area was divided into two
tuberculosis units. There are 12 designated microscopy centres and 17 DOT Centres
including NGO’s and PP’s.
36
RNTCP ACTIVITIES : Twelve microscopy centres are being operationalised with the help of
qualified and trained Lab. Technician in 1 million population of South Zone of Delhi. All the
chest symptomatics undergo screening for TB by smear microscopy.
A DOT provider is available in all 17 DOT centres of our area whose functions include: Initial home verification of TB diagnosed patients and provision of IEC activities to
family members.
 Initiation of DOTS as per RNTCP guidelines.
 Establishing the linkage by visiting the Institute on every Friday for timely enrolment of
the diagnosed and referred patients to their respective DOT area.
 Continuation of DOTS to patients after discharge from the Institute.
 Sending case and contacts to LRS Institute for various ongoing research projects.
 Helping the trainees during the field visits at DOT/MC Centres during their RNTCP
modular trainings.
IEC activities are done at each DOT centre on quarterly basis by 1st level of supervision. A
collaboration has been done with Department of Community Medicine of St. Stephen hospital
for training of DOT-provider regarding IEC activities at DOT Centre.
A collaboration has been done with NGOs and PPs. Among the NGOs, the Action India is
one of the well known organisations working in tuberculosis and HIV with indoor facilities.
Among PPs, IPH and H has been working on many disciplines including tuberculosis.
A collaboration has been done with other organizations like International centre for
Genetic Engineering and Biotechnology for ‘Regulation of Human Response in Human Mtuberculosis Infection’ and Jamia Hamdard (Hamdard University) for research work of M.Sc
and Ph.D students.
LRS – RNTCP achieved the cure rate of 88% and the sputum conversion rate of smear
positive patients of 91% during the year (table-23). This achievement resulted due to the joint
efforts of LRS, NGOs, PPs and STO Delhi.
Table – 23 : LRS-RNTCP Outcome Data
Indicator
New
Smear
Positive
New Smear
Negative
Retreatment
EPT
Total
Yearly
expected
950
2nd quarter
2007
154
3rd quarter
2007
122
4th quarter
2007
120
1st quarter
2008
134
Actual Year
950
93
82
55
81
311
475
190
2565
108
129
441+6
=447
90%
83
94
355
94
118
429
395
477
1729
91%
91%
87%
5.3%
5.3%
2.18%
86.5%
6.7%
3.1%
3.5%
87%
6.7%
3.1%
2.54%
90.57%
(91%)
88%
5.97 (6%)
3.7 (4%)
2.38%
Sputum Con.
>90%
110
136
493+5
=498
90.3%
Cure Rate
Default Rate
Failure Rate
Death Rate
>85%
<5%
<4%
<4%
89.5%
5.2%
3.6%
1.3%
37
530
DOTS was given to a total number of 1729 patients that included 938 of Category-I, 395
of Category-II and 396 of Category-III.
38
DOTS PLUS PROJECT : LRS Institute has been promoting National Tuberculosis Control
Programme through implementation of DOTS in 1 million populations in South Delhi, through
12 Microscopy and 17 DOT centres. It has been successful in achieving the goals of the
national tuberculosis control programme.
The Institute started DOTS PLUS as a pilot project in Jan 2002. The project has been
approved by the Green light committee.
The activities under the project are as follows:
 The patients who failed on CAT-II under DOTS and who are culture positive and multi
drug resistant on drug sensitivity test are enrolled in the project. These patients are
treated for a period of 2 years with the second line drugs free of cost.
 The diagnosis of all the suspected patients is done by the LRS Microbiology Lab. The
Laboratory of the institute is the national reference laboratory for tuberculosis,
ensuring standard quality diagnosis. The cultures are done by conventional as well as
Bactec technique and are free of cost to the patients.
 All the patients enrolled in the project, are evaluated by a DOTS-Plus committee
involving specialists of chest medicine and a microbiologist. This committee meets on
a weekly basis to discuss the enrollments, adverse reactions, and outcome of the
patients.
 Project has appointed staff on contractual basis, exclusively to manage the patients
which include a doctor as a research officer & a data entry operator.
 Patients are admitted in the hospital for one month before starting treatment for pre
treatment investigation and observation for any drug intolerance.
 Treatment is provided as daily supervised, standardized treatment regimen.
 Case detection: A total of 146 patients have been enrolled in the project till July of
2008, of whom 9 were enrolled in the year April 07 –Mar 2008.

Treatment Outcome: Out of 34 patients who were enrolled two years back i.e. 20052006, 20(58.8%) have been cured, 6(17.7%) died, 7 (20.6%) defaulted and 1 (2.9%) is
on treatment.

A total of 35 suspects were subjected to culture and drug sensitivity tests in the year
07-08. Out of them 12 patients reported MDR TB. Of these 9 patients were enrolled in
DOTS PLUS project.
Data of the patients and Accountability of drugs is recorded, maintained and reported

39



to the committee on regular basis.
Initial experience of 5 year implementation has been already published.
Experience of DOTS Plus project of LRS Institute has contributed significantly to
formulation of national DOTS Plus guidelines.
A few faculty members of LRS Institute are also members of National DOTS Plus
committee for framing and revising the national guidelines.
4.4 : Department of Hospital Administration
Dr. Rohit Sarin
Dr. R.K.Dewan
Dr. Kamla Verma
:
:
:
Assistant Medical Supdt. and HOD
Chief Administrative Officer
Chief Medical Officer (NFSG)
The Dept. of Hospital Administration is headed by the Assistant Medical Supdt., Dr. Rohit
Sarin. The Dept. assists the Director in running the Institute. Other divisions of the
administration include a Chief Administrative Officer (Dr. R. K. Dewan) and Administrative
Officer (Sh. B.R. Goomer). Various administrative issues are dealt by this division. Estate
Branch looks after the maintenance work of the Institute and consists of an Estate Committee
and a Consultant Civil Engineer on contract basis. Medical and General Store, Health
Education Section, Social Welfare Section, Transport Section, Medical Record Section,
Telephone Exchange, Security division, Procurement Cell, and a full fledged Accounts Section
take care of various activities of the Institute. The Institute also has a Public Information Officer
(Sh. B.R.Goomer) and an Appellate Officer (Dr. Anand Jaiswal).
4.5
Department of Internal Medicine
Dr. Upasana Aggarwal
:
Head of Department
The Department of Medicine runs a daily medicine OPD and gives internal Medicine
consults to patients of Respiratory Medicine attending the Institute’s OPD and admitted in
wards.
Department of Medicine also runs a free ART Centre under the aegis of National AIDS
Control Organization as discussed later under the Section.
Dr. Upasana Agarwal was deputed in the Central Rapid response team to Avian
Influenza, Ministry of Health and Family Welfare. She visited West Bengal as physicianCentral Rapid response team,11-15 Feb’08 and supervised the implementation of the AI
action plan in the bird flu affected areas of Hoogly district, W B.
The Department of Medicine hopes to provide quality care to people availing its
services and to lead in teaching, training and research activities in the future.
4.6 Department of Microbiology
40
Dr. V.P.Myneedu
:
Dr. P.Vishalakshi
:
Dr. Manpreet Bhalla :
Dr. Jharna Mandal
:
Dr. Shivpriya
:
Dr. Sandeep Meherwal:
Microbiologist and HOD(On Ex-India Leave w.e.f.19.07.2007)
Microbiologist and Acting Head
Senior Research Officer
Microbiologist (Leave vacancy w.e.f.14.11.2007)
Sr. Resident
NRL-Microbiologist (w.e.f.11.01.2008)
The department of Microbiology is equipped to provide diagnostic and research
support in the areas of Mycobacteriology, Bacteriology, Mycology, Serology and Molecular
Biology.
The department plays a pivotal role in the diagnosis of tuberculosis and supports the
RNTCP by performing the following:
 Smear microscopy by ZN stain and fluorescent stain on binocular, fluorescence and
trinocular microscopes for the purpose of diagnostics and training.
 Culture, identification and drug susceptibility testing (DST) of mycobacteria by
conventional and Bactec 460 system.
 The laboratory carries out approximately 10,000 cultures /annum and DST to both
First line and Second line anti tubercular drugs.
 The laboratory is the National Reference Laboratory for RNTCP related activities and
is involved in conducting quality assurance, accreditation and training related
programmes. The department supervises the IRL activities and quality control issues
of 11 states.
With a view to provide holistic diagnostic support for routine bacteriology, facilities of
mycology and serology also exist. The laboratory does routine screening for HIV.
The department is currently involved in several mycobacteriology projects and proposes to
strengthen services in the field of molecular medicine, gas liquid chromatography and drug
resistance studies. The research laboratory is equipped with Real time PCR for quantitative
studies. Keeping in tune with international Biosafety guidelines the department will shortly
have the facility of a BSL3 laboratory to handle Multi Drug Resistant strains. In addition, MGIT
960 is also likely to be commissioned shortly.
41
Data of Microbiology Department for the year is shown in following tables from 24 to 34.
Table-24: PULMONARYSMEAR MICROSCOPY (SPUTUM EXAMINATIONS)
SOURCE OF SAMPLE
OPD
Diagn
osis
Sputum smears
made for
Microscopy
Sputum smears
confirmed by
Microscopy
Sputum
Positives
Percentage
positivity
LRS RNTCP
(DOTS) Area
13341
13341
1430
10.7%
Non Area and
Outsiders
30340
25174
4287
14.1%
3594
2809
746
20.8%
47275
41324
6463
13.7%
11931
11467
4073
34.1%
9195
8878
3058
33.3%
Extra Pulmonary
1771
1771
123
6.9%
Subtotal
10966
10649
3181
29.0%
70172
63440
13717
19.5%
Follow up
Total (a)
INDOOR
Culture Section
(b)
Pulmon
ary
TOTAL (a)+(b)+(c)
OPD &
Ward
(c)
Table-25 : CULTURE SECTION (PULMONARY SPECIMEN)
Particulars
Total
Samples
Received
Conventional
Bactec
OPD
6298
4004
285
INDOOR
2197
1555
179
PROJECT
643
643
489
DOTS Plus Project
131
158
64
TOTAL
9138
6202
953
42
Table-26 : CULTURE SECTION (EXTRA PULMONARY SPECIMENS)
S.No.
TYPE OF TESTS
No.of
Specimen
Smear
Positive
i
Pleural fluid
528
11
528
5
ii
Bronchial Washings
265
8
265
0
iii
Pus
326
51
326
12
iv
FNA
477
43
477
9
v
Pleural Pus
50
9
50
4
Vi
Ascitic fluid
51
0
51
0
vii
Urine
9
0
9
3
Viii
CSF
25
0
25
1
ix
Tissue Biopsy
23
2
23
4
X
Lung Biopsy
1
0
1
0
xi
Others
12
0
12
4
1767
124
1767
42
TOTAL
Conventional
Culture
BACTEC
Table-27 : Drug Susceptibility / Drug Resistance Results (CONVENTIONAL METHOD)
a.
All Sensitive
b.
Any Resistance
Drug
77
No.
Drug
No.
Drug
No.
SHRE
60
RE
-
S
9
SHR
177
SR
9
H
59
HRE
8
SH
79
R
2
SHE
1
HR
91
E
0
43
499
SRE
0
HE
4
Total
499
c.
Quality Control
75
d.
Indeterminate (Repeats)
121
e.
Dead cultures
31
Total Tests Performed =
(a+b+c+d+e)
803
Table-28 : Drug Susceptibility / Drug Resistance Results (RADIOMETRIC METHOD)
a.
All Sensitive
b.
Any Resistance
Drug
42
No.
Drug
No.
Drug
No.
SHRE
41
RE
-
S
1
SHR
70
SR
-
H
32
HRE
24
SH
16
R
1
SHE
2
HR
81
SRE
0
HE
1
Total
269
269
c.
Quality Control
3
d.
Indeterminate (Repeats)
25
e
Resistance patteren awaited
1
f.
Dead cultures
0
Total Tests Performed =
(a+b+c+d+e)
44
340
Table-29 : BACTERIOLOGY ( PYOGENIC CULTURES)
TYPE OF SAMPLES
NO.
TYPE OF SAMPLES
i
Sputum / Throat swabs
760
viii
ET Aspirate
64
ii
Bronchial washings
121
ix
Stool
13
iii
Pleural fluid
123
x
CSF
9
iv
Pus
369
xi
AF
6
v
Urine
613
xii
Others
37
vi
Lymphnode Aspirate
16
vii
Gastric Aspirates
22
TOTAL Samples
No.
2153
Table-30 : Results of Pyogenic Cultures
Total number of samples = 2153
RESULTS OF SAMPLES
NO.
RESULTS OF SAMPLES
i
Total Organisms
isolated
1133
vii
Normal FLORA
388
ii
Gram positive
263
viii
Insignificant GROWTH
55
iii
Gram negative
843
ix
Mixed flora
14
iv
Candida
67
x
Double/triple growth
74
v
Sterile
453
xi
vi
Contaminated
45
45
No.
Table-31 : MYCOLOLGY
TYPE OF SAMPLES
NO.
TYPE OF SAMPLES
i
Sputum
130
viii
CSF
4
ii
Bronchial washing
49
ix
ET
1
iii
Pleural fluid
7
x
Stool
2
iv
Pus
3
xi
Blood
6
v
Lymph node aspirate
5
xii
Others
3
vi
Urine CSF
5
vii
Endotracheal tube
16
TOTAL samples
No.
231
Table- 32 : NAME OF THE TEST FOR MYCOLOGY
NAME OF TESTS
No.
NAME OF TESTS
NO.
i
KOH Mount
56
iv
Germ tube test
84
ii
LPCB mount
47
v
SDA agar
221
iii
Wet mount
59
vi
SDA cc Agar
-
Table- 33 : NAME OF FUNGUS IN MYCOLOGY TEST
RESULTS OF SAMPLES
NO.
vi
RESULTS OF SAMPLES
No.
Aspergillus Terreus
1
i
Candida Albicans
33
ii
Candida species
52
xi
Aspergillus Niger
8
iii
Aspergillus species
1
xii
Contaminants
29
iv
Aspergillus Fumigatus
24
xiii
Sterile
71
v
Aspergillus Flavus
1
46
Table -34
: IMMUNOLOGICAL TESTS
TOTAL(Ward+OPD)
TESTS
Number
Positives
HIV 1 & 2
1911
192
HbsAg
300
9
Widal
252
87
2463
not applicable
TOTAL Immunology tests done =
4.7
Department of Molecular Medicine & Bio-technology
Dr. V. P. Myneedu
Dr. P. Vishalakshi
:
:
Microbiologist and HOD (on ex-India leave)
Microbiologist and Acting HOD
The institute has recently constructed a new wing for the purpose of molecular
research activities. The division would be evolving and undertaking molecular epidemiology
and research related to drug resistance in tuberculosis. A real time PCR equipment has been
procured for the same. This division is under the department of microbiology. The trained
staff is likely to steer forth the research in the field of Molecular Medicine with regard to
tuberculosis, HIV, Hepatitis Viruses and other infectious diseases.
4.8
Department of Paediatric
Dr. Sangeeta Sharma
:
Paediatrician & Head of Department
The Institute has a 34 bed paediatric ward which is headed by a paediatrician. The
department provides both domiciliary as well as institutional care by running a daily OPD for
paediatric cases having TB & Respiratory Diseases and admiting those having serious
illnesses and complications like tuberculosis with empyema, haemoptysis, meningitis, drug
failure or drug resistant cases etc. in paediatric ward, as well as, in ICU.
The department is actively involved in teaching of DNB students, nurses and other
trainees from outside the Institute. Department In-charge is involved in RNTCP training
programmes and has delivered guest lectures and attended various conferences at both
international and national level during the year, details of which are mentioned under the
appropriate section.
The department is pursuing various research activities. Results of one of these studies
involving retrospective analysis of DOTS strategy for 1098 paediatric pulmonary TB cases
was published in International Journal of Tuberculosis and Lung Diseases in January 2008.
47
4.9
Department of Pathology
Dr. Kumud Gupta
Senior Resident
:
:
Head of Department
One
The Pathology department provides its services through the following laboratories.
a) Haematology, b) Histopathology and c) Cytology.
All the four laboratories are well equipped with automatic Haematology Analyser, Fully
Automatic Biochemistry Analyser, Electrolyte Analyser, Cytospin etc. Apart from routine
haematological and Biochemical tests, the labs provide complete profile of pulmonary
pathology tests for TB and respiratory diseases. Round the clock laboratory services for
ICU and post operative cases are also proposed. The various investigations done in the
Pathology Department are detailed in tables35 to 37.
Table-35: HAEMATOLOGY tests done
Type of tests
i
(Pathology Lab. data )
Number
Haemoglobin
%
16694
29.1%
16050
27.9%
T.L.C.
ii
iii
D.L.C.
16050
27.9%
iv
E.S.R.
1646
2.9%
v
B.T.
224
<1%
vi
C.T.
124
<1%
vii
M.P.
1534
2.7%
viii
Platelet Count
2035
3.5%
ix
A.E. Count
2688
4.7%
x
PS
391
<1%
57436
100.0%
Total Tests
Total Number of Samples =
16878
48
Table-36 : - CYTOLOGY tests done
Sr.No
CYTOLOGY TESTS
(Pathology Lab. data)
Number
%
I
Fine Needle Aspiration Cytology(FNAC)
1426
41.1%
ii
Pleural Fluid
1070
30.8%
iii
Bronchial Washing
267
7.7%
iv
Sputum for Cytology
303
8.7%
v
C.S.F.
11
<1%
vi
Pus
98
2.8%
vii
Ascitic Fluid
81
2.3%
viii
Bronchial brush washing (smear)
64
1.8%
ix
BAL
124
3.6%
x
TBNA
13
<1%
xi
ET Aspirate
7
<1%
xii
Pericardial fluid
1
<1%
xiii
OTHERS
4
<1%
3469
100%
TOTAL
49
Table-37 :
HISTOPATHOLOGY tests done (Pathology Lab. data)
Type of Histopathology tests
Number
%
i
Pneumonectomy
24
4.0%
ii
Lobectomy
62
10.3%
iii
Lymphnode biopsy
55
9.1%
iv
Bronchial Biopsy
138
22.9%
v
Pleural Biopsy
184
30.6%
vi
Cell Block
19
3.2%
vii
Lung Biopsy
27
4.5%
viii
Trucut
34
5.6%
xi
others
59
9.8%
602
100%
TOTAL
4.10
Department of Physiology
Dr Rupak Singla
Dr Sanjay Gupta
:
:
Head of Department
Chief Medical officer
The department is equipped with computerised complete pulmonary functions tests
machine for spirometry, lung volume and diffusion tests, portable spirometer, respirometer,
nebulizers etc. In order to avoid contamination of spirometry with M. Tuberculosis, the
department is equipped with a separate spirometer hooked to the computer/printer by a 2
way switch box. The department is also equipped with body plethysmograph and oscilloscope
to carry out airway resistance and conductance studies. Bronchial provocation tests are also
done in the laboratory.
The department assists surgical unit in preoperative assessment of the patients. The
patients from chest clinic are evaluated for confirmation of diagnosis, assessment of severity
and response of treatment. Department is actively participating in the research activities of
the Institute and has contributed research papers for publications also. Since 2005 onwards
the Head of Department, Dr Rupak Singla, is invited faculty in the PFT Workshop in the
National Conference of TB and Chest diseases (NAPCON).
50
The department has various equipments as mentioned below.
1. Computerized Complete Pulmonary Function Test machine for spirometry, static lung
volume and diffusion capacity measurements
2. Body plethysmography
3. Portable spirometer
4. Portable spirometer for sputum positive patients
5. ECG machine
6. Respirometer
7. Nebulisers
8. Other minor equipments
Total number of PFTs done during the year is shown in table -38.
Table-38 : Number of procedures done in Respiratory Laboratory (PFT Lab.)
i
Spirometry
4943
ii
Reversibility
101
iii
Lung Volume
96
iv
Diffusion test
71
Total No. of PFT's done
5211
i
VTG
20
ii
Airway Resistance with Body Box
20
iii
Conductance with Oscilloscope
20
Total number of Body Plethysmography
60
Total No. of ECG done
1590
4.11 Department Of Radiology
Dr. Devesh Chauhan
Assistant Professor
:
:
Head of Department
Vacant
Department is providing diagnostic imaging services to institute through state of art
diagnostic equipments as mentioned below.
51
Spiral CT Scan (GE) with DRY LASER CAMERA & Automatic Film processor (AFP)
Ultrasound machine (Siemens, G-50)
Ultrasound Machine (ALOKA JAPAN, Model SSD-630)
Heliophos-D, 500mA X-ray machine + Fluroscopy unit -SIEMENS)
E-4M 70mm Odelcha Camera (Siemens)
Nanomobile 100mA Portable X-ray Machine (Siemens)
Trophy 100mm MMR X-Ray Machine in mobile van
THOMSON portable X-ray Machine
600mA X-ray Machine (Listem Corporation KOREA)
Automatic X-ray Film Processor ( ECOMAT-21, ELK Corporation JAPAN)
Temp Controlled manual X-ray Film Processor (MEX INDIA. New Delhi)
Automatic X-ray Film Processor ( CP-345, ELK Corporation JAPAN)
Department is carrying out conventional radiological imaging as well as image guided
(Ultrasound & CT guided) diagnostic procedures such as FNACs, biopsies, aspirations,
abscess drainage etc. Department is also providing X-ray facility up to 8PM on all working
days.
CT scans are being carried on subsidized rates like CT Scan (Brain) at Rs. 1000/- for
OPD patients and at Rs. 500/- for Indoor patients, and CT Scan (all other body parts) at Rs
2000/- for OPD patients and at Rs 1000/- for Indoor patients. Non-ionic contrast media is
being provided by Institute within this cost. In case of poor patients, CT scan is being carried
out free of cost.
Department is also involved in teaching activities to DNB students and HIV fellowship.
Radiology data is shown in tables 39 to 41. A total of 34198 X-rays, 4605
ultrasounds and 988 CT Scans were done during the year.
Table-39 : Number of X-rays done
Film Sizes
Number
70MM
4380
100x100MM in Mobile Van
0
100x100 Cut film
0
8x10
1436
10x12
3277
12x15
21916
52
14x14
3075
14x17
114
a) Total No. of X-rays done
34198
b) Special procedures:
i) Barium Swallow
10
ii) Barium follow through
6
TOTAL Special procedures
16
Table-40 : Number of Ultrasound done
a)
Chest
2147
b)
Abdomen
2381
c)
Ultrasound guided FNAC
77
Total Number of Ultrasound done
4605
Table-41 : Number of CT SCAN done
a)
Chest
770
b)
Spine
4
c)
Head
167
d)
Abdomen
38
e)
Shoulder
1
f)
Hand
1
g)
CT Scan Guided
7
53
Total Number of C.T.Scans Done
988
4.12 Department of TB and Respiratory Diseases
The Department of TB and Respiratory Diseases is actively involved in teaching,
training and research in the field of TB & Respiratory Diseases The faculty of the department
assists the government of India in developing strategies for TB control and in implementation
of the same. The faculty has contributed significantly to the development of national
guidelines in India for management of tuberculosis, MDR-TB and pediatric tuberculosis under
the national programme. There are five units in the department. An Emergency runs till 4
p.m. on every working day.
The administrative constitution of the department is as follows.
1. Dr Rupak Singla - Head of Department
2. Dr Anand Jaiswal, Chest Specialist (Gr.-I)
3. Dr M.M. Puri, Chest Specialist (Gr.-I)
4. Dr Sushil Munjal, Chest Specialist (Gr.-I)
5. Dr S.B. Singh, Chest Specialist(Gr.-II)
6. Dr Rajnish Gupta, Chest Specialist (Gr.-II)
7. Dr Lokender, Chest Specialist (Gr.-II)
8. Dr J.K. Saini, Chest Specialist (Gr.-II)
9. Dr. Kamla Verma, Chief Medical Officer (NFSG)
10. Dr M.P. Arora, Chief Medical Officer
11. Dr Sanjay Singh, Chief Medical Officer
12. Dr Rakesh Aggarwal, Chief Medical Officer
13. Dr Anil Jain, Chief Medical Officer
14. Dr Sanjay Gupta, Chief Medical Officer
15. Dr Vikram Vohra, Chief Medical Officer
16. Dr. Kapil Mathuria, Chief Medical Officer
The Institute is a recognized for post-graduate DNB (Respiratory Diseases) degree
course since 1999. Presently 17 students are undergoing DNB training. Regular teaching
activities such as seminars, journal clubs, faculty lectures, grand case presentations, mortality
meetings, pathological conferences, radiological conferences and bed-side clinical rounds are
routinely carried out. The faculty of the department is involved in several multi-centric trials at
international level.
4.13 Department of TB Control and Training
Dr. Rohit Sarin
:
Head of Department
54
The Dept. of TB Control and Training is headed by Dr. Rohit Sarin, Assistant Medical
Superintendent. The Department is imparting training to the various personnel on different
aspects of tuberculosis as well as on the National TB Programme and the Revised Strategy.
Over the years, training has been provided to the key trainers from all over the country on the
Revised National Tuberculosis control Programme, specifically from those areas where the
strategy is proposed to be launched or is already being implemented. In addition, the
Department is assisting in the organization of workshops, seminars, CME programmes and
symposiums on the Revised National Tuberculosis Control Programme. Some of the
important decisions in the formulation of the Revised Strategy in the country have emanated
as a result of these workshops and seminars. Specifically these include the areas of
Management Information System, RNTCP in tribal areas, drug doses in treatment regimen of
RNTCP and seminars with teachers and professors of medical colleges and various TB
specialists to reach to a consensus on the strategy.
The department is also responsible for conducting all trainings of trainers under the
RNTCP as per the requirement of the Central TB Division, DGHS. The department is also
undertaking sensitization of Staff Nurses from different Nursing Colleges in the country and
also participating in the training of TB Health Visitors. The department has organized
International trainings for participants from SAARC countries and also conducted the First
National DOTS Plus Training Course in the country. The number of trainees trained during
the year is given in table-42.
The doctors to facilitate in the training process are :Facilitators:
1.
2.
3.
4.
5.
6.
7.
8.
Dr. Anil Kr. Jain, C M O
Dr. Vikram Vohra, C M O
Dr. Sanjay Gupta, C M O
Dr. Rakesh Aggarwal, C M O
Dr. Kapil Kumar Mathuria, C M O
Dr. Khalid U K, Epidemiologist
Dr. Lokendra Kumar, Specialist
Dr. S.B. Singh, Specialist
Mr. M.B. Naidu, Health Education Officer was designated as the Nodal Officer for all
administrative matters. Various specialists also participated in the lectures during training.
1.
2.
3.
4.
Dr. Rupak Singla, Chest Physician
Dr. Anand Jaiswal, Chest Physician
Dr. M.M. Puri, Chest Physician
Dr. Sangeeta Sharma, Paediatrician
55
The trainings are also facilitated by the representatives of the Central TB Division,
DGHS.
Table-42 : Different Training Programmes and workshops etc. held under the supervision of the
Department of TB control and Training
Categories
Number
i
Training of trainers under RNTCP (DTO's)
146
ii
Drug logistic workshop
150
iii
Training of staff nurses of different nursing colleges
824
iv
Training of TBHV's of New Delhi TB Centre
9
v
Training of Research Fellows in Microbiology Lab.
7
vi
NATIONAL:
National level RNTCP DOTS Plus training
56
vii
INTERNATIONAL
SAARC Regional Workshop
11
Total
1203
4.14 Department of Thoracic Surgery and Surgical Anatomy
Dr. R. K.Dewan
: Head of Department
Senior Specialist Gr-I Post
:
Vacant
The department is well known for its excellence and attracts patients from far away
places in India. It is a unique centre in the field of thoracic surgery which is devoted
exclusively to the care of patients suffering from TB and respiratory disorders. This is so
because most of the other centres have practically converted themselves into cardiac
surgical units. All types of major chest surgeries like resection of lung, decortication,
thoracoplasty etc. are being done. This unit is also attracting patients suffering from
common paediatric emergencies like foreign body inhalation and other problems related
to the field.
The Dept. is imparting training in fibre-optic bronchoscopy and other surgical
procedures to doctors of the Institute, as well as, from outside the Institute. Three M.Ch.
(Cardio-thoracic Surgery) doctors from AIIMS underwent training in the months of August,
September and October consecutively. A faculty of Department of Pulmonary Medicine
from King George Medical University, Lucknow was trained for 12 days in October 2007.
A medical graduate from Germany underwent a week’s training in December 2007. A
56
DNB (Cardio-thoracic and Vascular Surgery) student from Kanpur Medical College was
also trained in March 2008.
Data related to surgical department is shown in Table-43 (a),(b),(c)).
Table-43 (a) : THORACIC MAJOR CHEST SURGERY
i
Pneumonectomy
25
Rib resection
39
ii
Lobectomy
58
PC Window
95
iii
Thoracoplasty
20
Pericardiectomy
1
iv
Thoracotomy
31
Herniotomy
1
v
Decortication
34
Bullectomy
1
vi
VATS
7
Others
10
vii
VATS+Thoracotomy
8
viii
VATS+Thoracoscopy
16
ix
VATS+Decortication
3
TOTAL
349
TOTAL MAJOR PROCEDURES = 349
Table-43 (b): THORACIC ENDOSCOPIC PROCEDURES
i
Bronchoscopy 9 GA
2
ii
Bronchoscopy 9 LA
107
iii
Bronchography
0
TOTAL
109
Table-43 (c) : MINOR SURGICAL PROCEDURES STATISTICS
NO.
PROCEDURES :
i
Intercostal Tube drainage
ii
FNAC
25
1305
57
iii
Pleural Aspiration
1303
iv
Change of I.C.D.
10
v
Excision Biopsy
40
vi
I&D
63
vii
PC Window & Dilatation
39
viii
ICD
4
ix
Stitch Removal
5
x
Dressing
34
xii
Open Drainage
1
xiii
Others
25
TOTAL MINOR PROCEDURES =
2854
58
4.B
Various Sections In The Institute
4.15
4.16
4.17
4.18
4.19
4.20
4.21
4.22
4.23
4.24
4.25
4.26
4.27
Air Pollution Related Diseases Diagnostic Centre
Anti-Retroviral Therapy Centre
Biostatistics Section
Computer Section
Fibre-Optic Bronchoscopy Laboratory
Health Education Section
Library
Nursing Section
Physiotherapy Section
Respiratory Intensive Care Unit
Sleep Laboratory
Voluntary Counseling and Testing Centre
Yoga Centre
4.15 Air Pollution Related Diseases Diagnostic Centre
Dr J K Saini
:
In-Charge
The centre was started on 29th May 2006 with the assistance of Gas Authority of India
Limited (GAIL) for looking after the patients simultaneously having respiratory symptoms and
an exposure to air pollution. About 50 such patients were enrolled during the year. A predesigned detailed proforma was filled and investigations like chest skiagram, sputum smear
examination for acid fast bacilli, PFT and ECG were done for all of them, following which,
they were counselled about air pollution related diseases and appropriately managed. The
centre is equipped with air pollution monitoring machine and cardio-pulmonary exercise
testing machine, which are being used for research purposes.
4.16 ART Centre
Dr Upasna Agarwal
:
In-Charge
Department of Medicine runs a free ART Centre under the aegis of National AIDS
Control Organization. Dr. Upasna Agarwal, Specialist (Medicine) is the in-charge of the
centre. The centre is having one Senior Medical Officer (SMO), one Counselor, one Data
manager, one Staff nurse and one Lab technician.
Comprehensive HIV care facilities are provided at the ART Centre. These include free
of cost antiretroviral therapy, free CD 4 testing, treatment and prophylaxis of opportunistic
infections, patient and family counseling as well as pre-ART support and care services. The
centre follows stringent recording and reporting procedures and regularly reports to the
National AIDS Control Organization.
Data of ART Centre is shown in Table-44.
59
Table - 44 : Art Centre Data
a) HIV care data:
No
Indicators
i
Number of persons in HIV care at the
beginning of the year
ii
Number of new persons registered in
HIV care during the year
iii
Cumulative number of persons
registered in HIV care at the end of
the year
Adults (>14 years)
Children( <14
years)
M
F
TG/TS
M
F
155
60
1
6
3
TOTAL
225
146
64
0
4
3
217
301
124
1
10
6
442
115
77
1
4
1
198
b) Pre ART Care:
i
Cummulative number of patients in
Pre ART care at the end of the year
c) Patients on ART :
i
Number of patients on ART at the
beginning of the year
88
22
0
5
1
116
ii
New patients started ART during the
year
98
25
0
1
4
128
iii
Cumulative number of patients on
ART at the end of the year
186
47
0
6
5
244
4.17 Biostatistics Section
Mr . P.P. Sharma
: Statistician
The Biostatistics section is involved in research activities being carried out in the
institute. The Statistician helps the researchers in planning of the research studies,
sample size determination and statistical analysis. Technical and statistical assistance is
also provided to the DNB students for their research thesis. In some studies, the
Statistician is working as co investigator as well.
The section collects the patients data from various departments of the institute.
Reports are compiled on monthly, quarterly and annual basis. The section compiles a
monthly statistical report for internal circulation. A monthly statistical meeting is organized
on every third Thursday of the month under the Chairmanship of the Director. The
60
Institute’s data is presented by the Statistician during the meeting. All the doctors &
officers attend this meeting and discuss the data of the institute.
The statistician also imparts training to delegates at various levels for documentation,
monitoring and supervision under the RNTCP. Training is also imparted to Trainee health
visitors and other paramedical staff.
4.18 Computer Section
Mr. G.V. Raju
:
System Analyst (In-charge)
The Computer section is actively involved in clinical data processing and dissemination of
information. To improve information transfer and access, the computer section provided new
infrastructure in terms of hardware, software and network equipments. Patient billing,
discharge summary, report, internet search and other data processing related works are
looked after by the computer section. Institute website contents are regularly updated. The
computer section also coordinates with outside agency for hardware maintenance and
internet facility on regular basis and provides technical support to various programs including
seminars and workshop within the Institute. There are five data entry operators working in this
section.
4.19 Fibre-Optic Bronchoscopy Laboratory
Dr.Anand Jaiswal
:
Incharge
Routine diagnostic bronchoscopies and all bronchoscopic procedures are carried
in the laboratory. Teaching and training in bronchoscopy is done for residents of
Institute. Training of doctors from other Govt. institute is also done with payment of
training fee. A lecturer from department of TB & Chest, GSVM Medical College,
Kanpur, U.P., attended the training course in fibre-optic bronchoscopy for 10 days
from 07-02-08 to 17-02-08 at the institute.
The laboratory has various equipments as mentioned below.

Fibre-optic bronchoscopes – Three (BF-3, PE- 2 series and BF-ITR)

Pulse Oximeter

CCD Camera with Video Output and facility for recording.

All accessories of bronchoscope, biopsy forceps, brush, TBNA etc.
During the period from April-07 to March-08, a total of 266 bronchoscopes were
done with 485 different procedures like bronchial biopsy, transbronchial biopsy,
bronchial brushing, bronchial aspirate, trans bronchial needle aspiration, bronchoalveolar lavage, etc is shown in Table-45.
The laboratory has helped in diagnosing difficult cases like lung cancer, ILD,
occupational lung disease etc. The doctors within and outside the Institute are also
being trained in performing the procedures.
61
Table 45 : Fibreoptic Bronchoscopy
Number of Scopy done : 266
Procedure carried during bronchoscopies:-
Number
i
Bronchial Aspiration
254
ii
Bronchial Brush
63
iii
Bronchial biopsy
117
iv
Transbronchial biopsy
29
v
Broncho-alveolar Lavage
0
vi
Endo Bronchial Needle Aspiration
0
vii
TBNA (Transbronchial Needle Aspiration)
22
TOTAL Procedures
485
4.20 Health Education Section:
Mr. M. B. Naidu
:
Mrs. Sudesh
:
Mr. Girish Bhatt
:
Mrs. Neelu Saluja :
Mrs. Nirmal Mahajan:
Health Education Officer (In-charge)
Health Visitor
Health Visitor
Health Visitor
Health Visitor
Health Education about TB & RNTCP is being given to the patient, their relatives,
friends and companions. Health Education plays a vital role in treatment of tuberculosis.
This department has developed many leaflets & pamphlets to educate patients. These
health education materials are regularly distributed to the patients.
Patients and doctors communicate through public address system installed in the
rooms for all doctors to call patients. After diagnosis, all patients attending the O.P.D. are
referred for health education in OPD (Room no.-7). After imparting health education, they
are referred to their respective DOTS centres for further treatment regularly.
Two health camps were organised with the help of local N.G.O. at Mandi Village.
About 550 persons attended the camp. Some of the symptomatic TB patients were
referred to their nearest DOTS centre for treatment. The main focus of the health camps
was to create awareness regarding signs and symptoms, diagnosis and treatment of TB.
62
Banners were displayed, exhibitions organized and folders & pamphlets were distributed
to the public.
The number of patients on whom health education was imparted during the year is
mentioned in Table-46 :
Table-46 :
Health Education Data
Sno
Category of patients imparted Health Education
I
Number of New & Follow up TB patients in the OPD
1351
Ii
No. of patients in the wards
2774
Iii
Number of patients referred to other chest clinics
5047
Total number of patients imparted health education
TOTAL
9172
4.21 Library
Dr. M. M. Puri
Mr. G.V. Raju
:
:
Chairman
In-charge
During the year, library acquired 120 new books, 6 National Journals, 20 International
Journals and other printed material in the field of Tuberculosis and Respiratory Disease. It
renders the services to the faculty members, resident doctors, DNB students and other staff
members. Apart from this, two desktop computers along with internet search facility and
printer has been provided to the users. Photostat facility is also provided to readers on
demand basis. A total number of 630 books on various disciplines of Tuberculosis and
Respiratory Diseases is available in the library which is functioning from 9AM to 4PM on all
working days.
4.22 Nursing Section
Mrs. Mary Thankappan
:
Nursing Superintendent
The nursing personnel are providing quality nursing care for the critical ill, surgical,
paediatric and other respiratory disease patients by using the assignment of patient method
and functional method. Nursing section organises teaching and training programme for B.Sc
nursing students coming from Raj Kumari Amrit kaur college of nursing .Every year more than
500 [B.Sc (Hon’s) ,B.Sc(P.C), M.Sc.] nursing students are coming for their education
programme. The department is fully responsible for infection control and waste management.
63
4.23 Physiotherapy Section
Mr. Prabhu Lal Jat : Physiotherapist
The physiotherapy section in the Institute is actively involved in patient care in ICU,
post surgical wards and in general wards. Physiotherapy treatment to patients helps them
in early recovery from the disease.
The section has various machines like Short-Wave Diathermy (SWD), Ultrasound
Therapy Machine, machines for Electric Stimulation and TENS (Transcutaneous Electric
Nerve Stimulation), Shoulder Wheel, Static Cycle, Manual Traction Set etc. Many times,
urgent physiotherapy is given to respiratory ICU patients and post surgical patients.
Besides this, physiotherapy treatment is given to patients admitted in the wards suffering
from bronchiectasis, empyema, lung abscess, pleural thickening and joint contractures.
The patients who received physiotherapy treatment during the year are shown in table –
47.
Table 47 : Physiotherapy Data
MALE
FEMALE
TOTAL
Number of patients attended OPD for
physiotherapy
976
649
1625
Number of calls attended from the
wards and ICU for physiotherapy
2217
943
3160
Total patients received physiotherapy
3193
1592
4785
4.24 Respiratory Intensive Care Unit
Dr. Rajnish Gupta
:
In-charge
Dhanvantari Respiratory Intensive Care Unit (ICU), functional since August 1996, is a
14-bed unit for providing critical care to patients with respiratory illnesses. The building was
constructed under the auspices of Shri Adya Katyayini Shakti Peeth Mandir Chattarpur, New
Delhi, and has state- of-art equipment for managing acutely ill respiratory patients.
The ICU provides round the clock diagnostic and treatment facilities in the form of
invasive / non-invasive mechanical ventilatory support and appropriate intensive measures to
all those patients having critical medical illnesses of a pre-dominant respiratory nature and to
those who have undergone thoracic surgical interventions within the Institute as mentioned in
Table-21. The medical care is supervised by the In-charge ICU, the respective Unit Incharges and other specialists. Trained senior and junior residents, nursing staff and other
supporting staff are available on round the clock basis. Availability of a physiotherapist, a
psychologist and a medical social worker facilitates early mobilisation and psychological care
of the patients. Nearly 400-500 seriously ill patients are being treated in ICU every year.
64
Delivery of intensive care is facilitated by the regular procurement and maintenance of critical
care equipments, medicines and other essential items from time to time.
Regular teaching and training on critical care management is being imparted to the
senior residents, DNB students, junior residents, other doctors and nursing staff during their
ICU postings. Lectures, seminars, journal clubs and case presentations are organized for the
residents as per their academic schedule to cover the subject in the teaching curriculum.
Training is being given in endo-tracheal intubations, handling of invasive/ non-invasive
mechanical ventilation, performing various procedures like insertions of central venous
catheterizations etc and in taking critical clinical management decisions at crucial times.
The ICU was involved in the conduct of a prospective research study entitled “A
comparison of APACHE II predicted mortality with observed mortality in an Indian Respiratory
ICU” on 393 consecutive patients admitted over the 18 month period, the results of which
were published in the Indian Journal of Medical Research in June 2004 as an article entitled
“Performance evaluation of APACHE II score for an Indian patient with respiratory problems.”
Efforts are on to carry more such kind of studies.
4.25 Sleep Lab
Dr. Rajnish Gupta
:
In-charge
A Sleep Lab has been fully operational within the Institute since May 2004. A chest
Specialist-in-charge looks after the various activities of the sleep lab and is assisted in the
work by trained staff.
Sleep Lab is diagnosing patients with sleep related breathing disorders. All suspected
cases of sleep disordered breathing (like obstructive sleep apnoea etc.), referred from the out
patient department of the Institute or from the other hospitals, are enrolled in the Sleep Clinic
run every week. Detailed findings of their history and the general examination are recorded in
a specially designed proforma. Relevant investigations are carried out and necessary
instructions given to them. In order that they get acquainted with the Sleep Lab, they are
made to visit the place at least once before the conduct of the study. On the scheduled date,
an overnight polysomnography is conducted in the sleep lab on a Compumedics E-Series
software. Following the recording, it is analyzed (both automatically and manually),
interpreted and reported with specific recommendations.
All diagnosed cases of sleep disordered breathing are taken up for the requisite
Continous Positive Airway Pressure (CPAP) or Bilevel Positive Airway Pressure (BIPAP)
titrations simultaneously with a polysomnography. Following the titration, the study is
analyzed (both automatically and manually), interpreted and reported with specific
recommendations including advice to use an optimal pressure during sleep. Subsequently,
they are called for the follow-up sleep studies and given appropriate instructions. 42 sleep
studies including the CPAP/ BIPAP titrations were performed during the year as shown in
65
table-48.
Sleep Lab has been teaching and training the doctors and the staff of the Institute in
the diagnostic and therapeutic evaluation of sleep related breathing disorders. They include
the postgraduate DNB students, senior residents and the other doctors and staff of the
Institute. Lectures and journal clubs are organized for the residents as per their academic
schedule to cover the subject in the teaching curriculum.
Teaching and training on the subject has been carried out for the benefit of the
trainees from other Institutes as well. Two lectures were delivered by the In-charge at the 4th
Refresher Course in Psychiatry organized by Dept. of Psychiatry, S.N. Medical College in
Agra from 8th to 9th September 2007 for the trainees. The In-charge also chaired a session at
SLEEPCON 2007 in New Delhi on 9th December 2007.
Sleep Lab has been involved in the conduct of research projects as well. A DNB
research project entitled “To determine the pattern of sleep disordered breathing in obese
Indian subjects” was pursued during the year. There are plans to carry out more research
activities on subject in future.
Table 48 :
Sleep Lab Data
Number of cases =
Cases with Apnoeas
Obstructive
5
Central
2
Mixed
1
Cases with Hypopnoeas
Cases with significant
RDI /hr.
42
17
Mild
3
Moderate
3
Severe
11
Cases with Nocturnal Hypoxaemia
10
Other findings
6
Cases put on CPAP Trial
19
66
4.26 Voluntary Counselling and Testing Centre (VCTC)
Dr. Sushil Munjal
-
In-charge
A centre for Voluntary counselling for HIV testing has been operational in the Institute.
During the period from April-07 to March-08 , a total of 2242 patients were imparted pretest
counselling and 2113 came for post test counselling. A total of 201 patients were found
positive for HIV (Table –49).
Table 49
: Voluntary Counselling and Testing Centre (VCTC)
Adults
M
Pretest
counselling
Children
F
MC
FC
TOTAL
From OPD & Wards
1354
506
52
36
1948
Voluntarily and from NGO
195
82
10
7
294
Total Number of pretest
counselling
1549
588
62
43
2242
1483
526
61
43
2113
1
0
0
0
1
130
63
6
2
201
0
0
0
0
0
Number of post test counselling
Number of patients refused consent
Number of patients reported HIV Positive
Number of HIV+ve patients who did not
collect the report
The L.R.S. Institute is running a Post Graduate Fellowship Training in HIV Medicine in
collaboration with Maulana Azad Medical College, New Delhi since 2006. Every year, 16-18
fellows come for training. During the year, 16 fellows were trained in the fellowship
programme. The Contact Course II conducted in month of April 2007 was of 2 days duration.
The Contact Course III conducted for 2 batches in months of September and October 2007
was of 3 days duration.
4.27 Yoga Centre
A centre for collaborative research in Yoga was inaugurated in the Institute on 24th
May 2007 in partnership with Morarji Desai National Institute of Yoga, New Delhi. The
Institute plans to offer yoga facility to patients of COPD, bronchial asthma and all those
requiring respiratory rehabilitation.
Data of Yoga centre for the year is shown in Table – 50 (a) & (b).
67
Table 50(a) : Yoga Therapy and Research Centre
(Data for the period June 2007 to March-2008)
Patient details
M
F
Total
i
New Enrolment
310
82
392
ii
Old Enrolment (Follow ups)
97
69
166
407
151
558
TOTAL
Table 50(b): Details of Yoga Classes :
Class details
Number
Total number of working days
247
I
Total number of classes
1222
Ii
Total number of patients attended
4049
Iii
Average number of classes per day
5
Iv
Average number of patients per day
16
V
Average number of patients per class
3
Average duration of the class
40 min.
68
5.0
Research activities
DNB Course
The DNB course in Respiratory Medicine was started at LRS Institute of TB & Respiratory
Diseases from July,1999. The Institute was further accredited in the year 2002 and 2005
respectively. Till date 47 students have been registered, of whom 24 candidates appeared
for final examination and 15 candidates have passed the DNB examination. The Diplomate
qualifications awarded by the National Board of Examinations have been equated with post
graduate degree and post doctoral level qualifications of Universities by the Government of
India, Ministry of Health and Family Welfare. At present the number of post graduate three
years training course DNB candidates are six per year. The method of selection of the
candidates is as per the guidelines of National Board of Examinations issued from time to
time.
Dr. Rupak Singla, Head, Department of TB & Respiratory Diseases is Incharge of DNB
Course. Various academic activities such as Faculty Lectures, Seminars, Bed Side Classes,
Grand Case Presentations, Pathology Conferences, Radiology conferences, Journal Clubs,
Statistical Meetings, External Faculty Lectures, Lab. Visits, Mortality Meetings are regularly
held for the post graduate students:
5.1 Studies being carried out under DNB courses :
SNo
Title of the study
1.
To study the clinic-radiological profile of patients of
lung cancer and to determine the response to
Cisplatin and Irinotecan as Chemo-therapeutic
regimen in appropriately staged III-B/IV cases of nonsmall cell lung cancer.
To determine the predictors of MDR-TB amongst
sputum positive pulmonary TB patients who failed on
category-II treatment under RNTCP
To study the reasons of default from ATT among
hospitalized TB patients.
To study the profile and predicting factors of
tuberculosis patients remaining AFB smear positive
after 2 months of CAT-I treatment
To study the impact of COPD on activities of daily
living.
Symptoms based questionnaire to identify COPD and
to differentiate it from asthma.
To determine the causes of death in patients with
tuberculosis.
To Determine the existence and pattern of sleep
disordered breathing in non-obese adult Indian
snorers.
Study of protocol of patients failure on Cat-I / Cat-II
under RNTCP DOTS.
To assess the impact of endobronchial biopsy via
flexible bronchoscope on the diagnosis of patients
suspected with pulmonary sarcoidosis.
To determine the profile of geriatric patients suffering
from tuberculosis and to ascertain the reasons of
reduced cure rate in them under the LRSI RNTCP
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
69
Date of
start
2006
Student
Guide/Co-guide
Dr. Deepak
Nagar
Dr. A. Jaiswal
Prof. (Dr. ) D. Behera
Dr. Rajnish Gupta
2006
Dr. Mahesh
Rathore
Dr. Rohit Sarin
Dr. A. K. Jain
2006
Dr. Sweta Gupta
2006
Dr. Sanjay Kr.
Bharty
Prof. (Dr. ) D. Behera
Dr. Sanjay Gupta
Dr. Rupak Singla
Dr. V. Vohra
2006
Dr. Brahm
Prakash
Dr. Shweta
Gupta
Dr. Sheikh
Mohd. Suhail
Dr. Deepak
Kumar
Dr. M. M. Puri
Dr. Lokender
Dr. Lokender
Dr. S. K. Munjal
Prof. (Dr. ) D. Behera
Dr. Sanjay Gupta
Dr. Rajnish Gupta
Dr. A. Jaiswal
2008
Dr. Mir Faizal
2008
Dr. Uday Aditya
Gupta
Dr. Rupak Singla
Dr. V. Vohra
Dr. S. B. Singh
Dr. M. M. Puri
2008
Dr. Mandeep
Singh
Dr. Rohit Sarin
Dr. A. K. Jain
2008
2008
2008
area.
5.2 Researches Other Than DNB Course :
SNo.
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
Title of the study
Evaluation of rapid diagnostic methods of the detection of MDR-TB & XDRTB .
A randomized, double-blind, placebo-controlled, parallel-group study to
assess long term (one-year) efficacy and safety of Tiotropium inhalation
solution 5µg (2 puffs of 2.5µg) delivered by the Respimat® Inhaler in
patients with Chronic Obstructive Pulmonary Disease (COPD).
A phase 2, multicenter, open label, randomized trial of AMG 706 or
Bevacizumab in combination with Paclitaxel and Carboplatin for advanced
non squamous Non-small Cell lung Cancer.
Tobacco related methylation pattern in lung cancer
DOTS Strategy for management of paediatric extra pulmonary TB in
children.
Efficacy and safety of Immunomodulator (Mw) in Cat.II Pulmonary TB
patients (Collaboration with DBT).
DOTS-Plus Pilot Project (with support of Central TB Division)
Repeat Zonal Level Tuberculin Survey for estimation of annual risk of
tuberculosis infection in East Zone (collaboration with NTI Bangalore).
To study the efficacy and safety of levofloxacin containing regimen in
MDR pulmonary tuberculosis patients.
Role of voltage gated calcium channels and suppressors of Cytokine
Signaling (SOCS) in regulating immune responses to Mycobacterium
tuberculosis.
70
Name of Researcher
Dr. D. Behera
Dr. D. Behera
Dr. D. Behera
Dr. Anand Jaiswal
Dr. D. Behera
Dr. Sangeeta
Sharma
Dr. Rohit Sarin
Dr. Rohit Sarin
Dr. Rohit Sarin
Dr. V. Vohra
Dr. Rupak Singla
Dr. Rupak Singla
5.3 Awards and Prizes :
Sno. Awardee and Details of Award
1.
Dr. Rohit Sarin was awarded Prof. K.C. Mohanty Award for the best paper presented
entitled “DOTS Plus - An Urban Experience” in “National Conference on Tuberculosis
and Chest Diseases” (NATCON 2007) at Maulana Azad Medical College, New Delhi from
14-16 December 2007
2.
Dr. Upasana Agarwal received the BEST ORAL PRESENTATION AWARD in
International Conference on Pathogenic Organisms in AIDS-2008, New Delhi, 27-29
Jan’08, for presenting paper titled ‘Clinical presentation and outcome of tuberculosis
associated with HIV – an experience from a tertiary care TB Institute’. The award was
given by Hon’ble State Minister of Health, Smt, Panabaka Lakshmi.
71
6.0 PUBLICATIONS :
6.1 Papers And Articles Published :
S.No Authors Names
1.
2.
3.
4.
5.
6.
7.
8.
Title of the Paper
Behera D.
Journal/Year/Volum
e/Page No.
J Thorac Oncol
2007; 2(Suppl
4):S482.
FHIT gene expression in lung cancer celllines and evaluation of its effects with
chemotherapeutic agents on apoptosis
(Abstract).
A cheap and affordable combination J Thorac Oncol
Behera D ,
chemotherapy (Irinotecan and Cisplatin) for 2007; 2(Suppl 4):
Aggarwal R,
treatment of lung cancer in developing S667.
Aggarwal AN,
Gupta D, Jindal SK, countries - observations from India
(Abstract).
Sharma SC,
Kapoor R.
Behera D,
Gefitinib (Gefitinat) in advanced non small J Thorac Oncol
Aggarwal R,
cell lung cancer-a follow up observation in
2007; 2 (Suppl
Aggarwal AN,
Indian patients (Abstract)
Gupta D, Jindal SK,
4):S705.
Sharma SC,
Kapoor R.
Mamta Kalra, Ajay
Supplementation with RD antigens enhances Clin Immunol 2007
Grover, Neena
the protective efficacy of BCG in tuberculous Aug 31; [Epub
Mehta, Jaspreet
mice.
ahead of print].
Singh, Jaspreet
Kaur, Suraj B
Sable, Behera D,
Pawan Sharma,
Indu Verma and G
K Khuller.
Behera D.
Book Review. WHO Report 2007: Global Indian J Med Res
tuberculosis control-surveillance, planning, 2007;126: 233-236.
financing (World Health Organisation,
Geneva) 2007
Sharma S,Sarin R, The DOTS strategy for treatment of
Int J Tuberc Lung
Khalid UK,Singla N, paediatric pulmonary tuberculosis in South Dis 2008; 12: 74Sharma PP,
Delhi, India.
80.
Behera D.
Sharma M,
Influence of honey on adverse reaction due Continental J
Khayyam KU,
to anti-tuberculosis drugs in pulmonary Pharmacology and
Kumar V, Imam F,
tuberculosis patients.
Toxicology
Pillai KK, Behera D.
Research 2008; 2 :
6-11.
VK Arora, R Sarin,
DOTS plus for patients with multi drug Indian Journal of
R Singla, UK
resistant tuberculosis in India : Early results Chest Diseases
Khalid, K Mathuria, after three years.
and Allied Sciences
72
9.
10.
11.
Neeta Singla, VP
Myneedu
2007; 49:75-79
Amit Diwakar, R K
Zygomycosis – a case report and overview
Dewan, Anuradha
of the disease in India.
Chowdhary, H S
Randhawa, Geetika
Khanna, S N Gaur.
Sangeeta Sharma. Drug Resistant TB in Children.
Blackwell Synergy
– Mycoses July
2007; 50(4):247254.
Sagarika Haldar,
Soumitesh
Chakravorty,
Manpreet Bhalla,
Shyamasree De
Majumdar, Jaya
Sivaswami Tyagi
Simplified detection of mycobacterium
tuberculosis in sputum using smear
microscopy and PCR with molecular
beacons.
73
Chapter in
Infectious Diseases
in Children &
Newer Vaccines –
An IAP Infectious
Disease Chapter
Publication
Journal of Medical
Microbiology 2007;
56:1356-1362.
7.0 Presentations during Conferences/Seminars/Workshops :
7.1. Outside Country :
Details of Presentations :
S.No. Title of the Paper Presented/Session Name of the
Chaired or Organised
Presenter
1.
Presented following 3 posters in 12th World Dr. D.
Behera
Conference on Lung Cancer
i) Gefitinib (Gefitinat) in advanced non
small cell lung cancer-a follow-up
observation in Indian".
ii) "FHIT Gene Expression in Lung
Cancer Cell-lines and Evaluation of its
Effects with Chemotherapeutic Agents on
Apoptosis"
iii) "A Cheap and Affordable Combination
Chemotherapy (Irinotecan and Cisplatin)
for Treatment of Lung Cancer in Developing
Countries Observations from India"
2.
Delivered a lecture on the subject titled "Multi- Dr. D.
Drug Resistance TB Infection - A South East Behera
Asian Perspective at the "Middle East
Laboratory Medicine and Management
Conference", 2008 held during Arab Health
2008
3.
Co-author of paper presented at 27th annual Dr. Rupak
conference of American Society for Laser Singla
Medicine and Surgery “The role of HeliumNeon Laser Therapy in the treatment of
Tuberculosis of Lymph Nodes”
4.
Delivered
a
talk
on
“Tuberculosis Dr. Rupak
Management: time to shift focus from agent to Singla
host” in a joint seminar of Indo-German
Collaboration Meeting on “Immunology in
Health and Disease”
5.
Invited Guest Faculty at the 16th Asian Dr. R. K.
Congress of Cardiovascular Thoracic Dewan
Surgeons & delivered a talk on "Role of
surgery in pulmonary tuberculosis at present".
6.
Presented a paper entitled “ The role of Dr. M. M.
Helium Neon Laser therapy in the treatment of Puri
Tuberculosis of Lymphnode “ at 27th Annual
Conference of American Society for Laser
Medicine & Surgery
7.
Menstrual Dysfunction in adolescent girls with Dr. Sangeeta
Pulmonary and Extra Pulmonary TB
Sharma
74
Venue
Dates
Seoul,
Korea
2nd – 6th
September
2007
Dubai,
United
Arab
Emirates
28th - 31st
January
2008
Grapevine
Texas,
USA
11th – 15th
April 2007
Berlin,
Germany
1st - 3rd July
2007
Singapore
March 2008
Grapevine
Texas,
USA
11th – 15th
April 2007
Tokyo,
Japan
22nd
-25th
September
2007
7.2.
Within Country:
Details of Presentations :
S.No. Title of the Paper Presented/Session
Chaired or Organised
1.
Delivered a talk on "Current Status in
Management of COPD" during Pulmonary
Medicine Update.
2.
Delivered the "Tandon Mathur Oration"
3.
4.
5.
6.
7.
8.
9.
10.
11.
Delivered a talk on Epidemiology of Lung
Cancer, Indian Scenario" in National Lung
Cancer Meeting – 2007.
Delivered
a
talk on
'Strategy of
DOTS and DOTS plus in Tuberculosis
Management' in a CME· organized by
Association of Physicians of India (Orissa
State Branch).
Chaired a session on Management of CAPs
on 'Community Acquired Pneumonia'.
Name of the Venue
Presenter
Dr D.
I.G.
Behera
Medical
College,
Shimla
Dr. D.
King
Behera
George
Medical
University,
Lucknow
Dr. D.
Lonavala,
Behera
Pune
Dr. D.
Behera
Cuttak
Dr. D.
Behera
PGIMER,
Chandigar
h
Ludhiana
Invited as an Expert Speaker for scientific
session in State Task Force Meeting of
Punjab.
Delivered key note address in CME on Lung
Cancer organized by Indian Society for study
of Lung Cancer and St. John's National
Academy of Health Sciences.
Delivered a talk during Zonal Conference on
RNTCP.
Dr. D.
Behera
Delivered a lecture on “Revised National TB
Control Programme” in National Conference
on Pulmonary Diseases (NAPCON), 2007.
Delivered a lecture on “Management of Lung
Cancer in developing countries” in National
Conference on Pulmonary Diseases
(NAPCON), 2007.
Delivered a lecture on Recent Advances in
Lung Cancer in National Conference of TB
75
Dr. D.
Behera
Dates
7th - 8th
April 2007
20th April
2007
6th - 7th
October
2007
9th
December
2007
23rd
December
2007
26th February
2008
29th
February
2008
Dr. D.
Behera
St. John's
Medical
College,
Bangalore
Indira
Gandhi
Medical
College,
Shimla
Chandigar
h
Dr. D.
Behera
Chandigar
h
2007
Dr. D.
Behera
New Delhi
2007
Dr. D.
Behera
24th March
2008
2007
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
22.
23.
24.
Association of India 2007
Delivered a lecture on “Sepsis” at Orissa
Chest Society
Delivered a lecture on “Drug Resistance
Tuberculosis” ” at Orissa Chest Society
Delivered a talk on “Tuberculosis
Management” in GPCON 2007 for General
Practitioners
Delivered a Guest Lecture at NCCP
conference on “DOTS Plus National
Guidelines”
Participated in Clinical Debate on “Sputum
Vs X-ray Radiograph – Value in Diagnosing
Tuberculosis” in NAPCON 2007
Participated in Panel Discussion on clearing
the confusion : “Revised National
Tuberculosis Programme” in NAPCON 2007
Presented a paper entitled “DOTS Plus-An
Urban Experience” at National Conference on
Tuberculosis and Chest Diseases” (NATCON
2007) and awarded Prof. K.C. Mohanty Award
for the best paper. Also participated in Panel
Discussion on RNTCP.
Presented the “LRS-DOTS Plus Experience” in
the Workshop on “Consultative Meeting –
India Response plan for the Diagnosis and
Mangement of MDR/XDR TB “
Acted as Facilitator in Workshop on
Management of Drug-Resistant Tuberculosis”
organised by Regional Office of South-East
Asia, World Health Organization
Dr. D.
Behera
Dr. D.
Behera
Dr.
Rohit
Sarin
Bhubanes
hwar
Bhubanes
hwar
Delhi
2008
Dr. Rohit
Sarin
Rajasthan
7th October
2007
Dr. Rohit
Sarin
Chandigar
h
Dr. Rohit
Sarin
Dr. Rohit
Sarin
Dr. Rohit
Sarin
Dr. D.
Behera, Dr.
R. Sarin, Dr.
Rupak
Singla
Organised a “Workshop as faculty on Dr. Rupak
Pulmonary Function Tests and PEFR” in Singla
National Conference on Pulmonary Diseases
(NAPCON - 2007).
Participated as National facilitator in “DOTS Dr. Rupak
Plus Training to AP and Haryana DTO and Singla
STO”.
As Organizing Secretary, organised CT-CME Dr. R. K.
cum Workshop held under the auspices of the Dewan
Indian Association of Cardio-vascuiar Thoracic
Surgeons.
Delivered a talk on the topic “Treatment of TB Dr. Rupak
76
2008
15th April
2007
22nd - 25th
November
2007
Chandigar 22nd - 25th
h
November
2007
Maulana
14th – 16th
Azad
December
Medical
2007
College,
New Delhi
TRC,
Chennai
14th -15th
September
2007
Faridabad, 6th – 10th
Haryana
August 2007
PGI,
Chandigar
h
22nd
November
2007
Ahmedaba 25th - 29th
d, Gujrat
February
2008
LRS
17th – 18th
Institute of November
TB &
2007
Respirator
y
Diseases.
New Delhi
Maulana
8th
under RNTCP” in the Department of Obstetrics Singla
& Gynaecology.
25.
26.
27.
28.
29.
30.
31.
32.
33.
34.
Azad
Medical
College
New Delhi
December
2007
LRS
Institute of
TB
and
Respirator
y
Diseases,
New Delhi
AIIMS,
New Delhi.
4th August
2007
Vasant
Kunj, New
Delhi
Fortis
Flt.Lt.Raja
n
Dhall
Hospital,
Vasant
Kunj, New
Delhi.
Chennai
26th August
2007
Dr. Rupak
Singla
AIIMS,
Delhi
29th
October
2007
Dr. D.
Behera,
Dr. Rupak
Singla
Presented talk on “Pre-operative assessment Dr. Rupak
of a thoracic surgical patient and pulmonary Singla
function tests” in CT-CME organized by
Thoracic Surgical Department.
AIIMS,
Delhi
30th – 31st
October
2007
LRS
Institute of
TB
and
Respirator
y
Diseases,
New Delhi
Maulana
17th
November
2007
Participated as panelist in Panel discussion
“Management of MDR/XDR TB” in NATCON
2007 held at National Conference of
Tuberculosis and Chest Diseases.
Delivered a guest lecture on “Pulmonary
Function Tests in Clinical Practice” in Post
Graduate Pulmonary Meet.
Dr. Rupak
Singla
Chaired a session on “Inhalational therapy in
Respiratory Disorders” in CME organised by
Department of Medicine,
Chaired a scientific session on ' New Horizons
in Pulmonology - Thoracic Surgery & Critical
Care' at “Fortis Flt.Lt.Rajan Dhall Hospital”.
Delivered a talk on “Transbronchial Biopsy” in
Workshop titled-‘Interventional Bronchoscopy
Dr. Rupak
Singla
Participated as Technical member in
Consultative Meeting-India Response Plan for
the diagnosis and Management of MDR/XDR
TB.
Participated in National CME Programme on
“Drug Resistant Tuberculosis” organized by
National Task Force for the involvement of
Medical Colleges in RNTCP.
Participated in workshop of National Task
Force for the involvement of Medical Colleges
in RNTCP – 2007.
Dr. Rupak
Singla
Dr. Rupak
Singla
Dr. Rupak
Singla
Dr. Rupak
Singla
Delivered a talk on “Treatment of TB under Dr. Rupak
77
15th
December
2007
5th August
2007
27th
2007
Aug
14th – 15th
September
2007
8th
RNTCP” in the Department of Obstetrics & Singla
Gynaecology .
35.
36.
Acted as Coordinator in a session on MDR-TB
in Indo-US Healthcare Summit organized
jointly by Indian Medical Association, Medical
Council of India & American Association of
Physicians of Indian Origin.
Participated as Technical member in “National
DOTS Plus Committee Meeting”
Dr. Rupak
Singla
Dr. D.
Behera,
Dr. R. Sarin,
Dr. Rupak
Singla
Azad
Medical
College
Hyatt
Regency
Hotel, New
Delhi
December
2007
LRS
Institute of
TB
and
Respirator
y
Diseases,
New Delhi.
LRS
Institute of
TB
and
Respirator
y
Diseases,
New Delhi.
Chandigar
h
17th – 18th
January
2008
37.
Participated as Technical member in “National Dr. Rupak
Consultation on Revision of NGO-PP Singla
guidelines.”
38.
Invited Guest Faculty at NAPCON 2007 and Dr. R. K.
delivered a talk on "Surgery for ILD & COPD”. Dewan
39.
Invited Guest Faculty in "'Newer horizons in
Respiratory Medicine & Thoracic Surgery” and
delivered a talk on "'Optimal management of
Empyema"
“Scientific Basis of Intermittent Short Course
Chemotherapy and DOTS” at State Task
Force meeting.
Dr. R. K.
Dewan
Fortis
hospital,
New Delhi
Dr. M. M.
Puri
41.
Chaired a Scientific Session on “Surgery in
lung inflammatory Disorder” in Thoracic CME
Dr. M. M.
Puri
42.
Participated as expert in a Panel discussion
on COPD in the National Conference of
Tuberculosis and Chest Diseases, organised
by Tuberculosis Association of India
Dr. M. M.
Puri
Dayanand
Medical
College,
Ludhiana,
Punjab
LRS
Institute
Tuberculo
sis
&
Respirator
y
Diseases,
New Delhi
Maulana
Azad
Medical
College,,N
ew Delhi
40.
78
13th – 15th
December
2007
29th – 31st
January
2008
23rd
November
2007
August 2007
26th
February
2008
17th
November,
2007.
14th - 16th
December
2007
43.
44.
45.
46.
47.
48.
49.
Delivered two lectures on “Basics of Sleep
and Polysomnography” and “Pre-requisites of
Sleep lab”as well as as conducted a workshop
on sleep at 4th Refresher Course in Psychiatry
organised by Dept. of Psychiatry
Chaired a session in SLEEPCON 2007
organised by Depatment of Pulmonology
Critical Care and Sleep Medicine
Dr. Rajnish
Gupta
S
N 9th
Sept.
Medical
2007
College,
Agra
Dr. Rajnish
Gupta
VMMC &
Safdurjung
Hospital
under
aegis of
ISDA
Guest Invited lecture “Paediatric TB under Dr. Sangeeta Dayanand
RNTCP”
Sharma
Medical
College,
Ludhiana
Invited faculty “BCG Newer TB Vaccine” at Dr. Sangeeta Bhubanesh
PEDICON 2008.
Sharma
war
Invited lecture “Vaccine for TB-Revisited at Dr. Sangeeta PGIMER,
PGIMER”
Sharma
Chandigar
Delivered a lecture on “Laboratory Challenges
in Drug Susceptibility Testing” (DST) and
implication for the interpretation and use of
DST Results” in the National CME cum
Workshop of the National Task Force (NTF)
Presented paper titled ‘Clinical presentation
and outcome of tuberculosis associated with
HIV – an experience from a tertiary care TB
Institute’ at International Conference on
Pathogenic Organisms in AIDS-2008.
79
9th
December
2007
18th
November
2007
16th January
2008
23rd
February
2008
h
Dr. Manpreet AIIMS,
Bhalla
New Delhi
29th October
2007
Dr. Upasana
Agarwal
27th – 29th
January
2008
AIIMS,
New Delhi
8.0 Conference /Workshop/Seminar/Training attended :
8.1. Outside Country :
Details of Conference/Workshop/Seminar/ Training attended:
S.No Name of the
Name of
Venue
Participant
Conference/Workshop/Seminar/
Training attended
1.
Dr. D. Behera Attended "38th Union World Capetown, South
Conference on Lung Health of the Africa
International
Union
Against
Tuberculosis and Lung Disease
(The Union)". The Theme of this
conference was "Confronting the
challenges of HIV and MDR in TB
Prevention and care".
2.
Dr. R. K.
Attended Workshop on Video- National University
Deewan
assisted Thoracic Surgery
Hospital,
Singapore during
ASCVS 2008
3.
Dr. Rohit Sarin
Attended conference on
“ADVOCACY COMMUNICATION
AND SOCIAL MOBILIZATION
(ACSM)
Attended 27th Annual Conference
of American Society for Laser
Medicine and Surgery
Lahore, Pakistan
4.
Dr. Rupak
Singla
5.
Dr. M. M. Puri
Attended 27th Annual Conference
of American Society for Laser
Medicine & Surgery
Texas, USA
6.
Dr. Sangeeta
Sharma
Attended XX Asia Oceanic
Conference of Obst. & Gynae
Tokyo, Japan
80
Grapevine Texas
USA
Dates
(From to)
8th 12th
Novem
ber
2007
16th
March
2008
1st – 3rd
Septe
mber
2007
11th
April –
15th
April
2007
11th to
15th
April
2007
22nd 25th
Septe
mber
2007
8.2 Within Country :
Details of Conference/Workshop/Seminar/ Training attended:
S.No Name of the Name of
Venue
Participant
Conference/Workshop/Seminar/
Training attended
1.
Dr. D.
Attended RNTCP North Zonal
Chhartrapati
Behera
Task Force (ZTF) Workshop
Shahuji Mahraj
Medical University
/ Lucknow
2.
Dr. D.
Attended
Zonal Task Force
Bangalore
Behera
Workshop (South) for
the
involvement of medical colleges
under RNTCP
3.
Dr. D.
Attended Zonal Task
Force
Pune
Behera
Workshop (West Zone) for the
involvement of medical colleges
under RNTCP
4.
Dr. D.
Attended WHO Sponsor Meeting
Chennai
Behera
organized by Tuberculosis
Research Centre entitled
"Consultative Meeting-India
Response Plan for the Diagnosis
and Management of MDR/XDR
TB"
5.
Dr. D.
Attended North Eastern Zonal
Imphal
Behera
Task Force Workshop
6.
Dr. D.
Behera
7.
Dr. D.
Behera
8.
Dr. D.
Behera
9.
Dr. D.
Behera
10.
Dr. D.
Behera
Attended
"Epidemiological
Impact Assessment Meeting" of
national and international experts
organized by RNTCP in association
with WHO
Attended
"National Conference
on
Pulmonary
Diseases"
(NAPCON-2007)
National
Tuberculosis
Institute, Banglore
Dates
(From to)
3rd -4th
August
2007
10th -11th
August,
2007
23rd -24th
August,
2007
14th 15th
Septemb
er 2007
28th - 29th
Septemb
er 2007
11th -13th
October
2007
22nd 25th
Novembe
r 2007
Attended “National Workshop on Lonawala
26th – 27th
Climate Change and its impact on
Novembe
Health” organized by WHO
r 2007
Attended "Annual State Chest Orissa
Chest 27th
Conference"
Society
January
2008
Attended
workshop
on Tuberculosis
4th - 6th
"Evaluation of RNTCP Training Research Center, February
Methodology"
Chennai
2008
81
PGIMER,
Chandigarh
16th
February
2008
NTI, Bangalore
29th- 30th
June
2007
Maulana Azad
Medical College,
New Delhi
Faridabad,
Haryana
14th -16th
Decembe
r 2007
6th – 10th
August
2007
11th –
13th
October
2007
16th –
27th July
2007
18th
Novembe
r 2007
21st
Novembe
r 2007
21st
August
2007
14th to
16th
Decembe
r, 2007
29th -31st
January,
2008
26th
February,
2008
16th – 19th
January
2008
18th
Novembe
r 2007
23rd
Dr. D.
Behera
12.
Dr. Rohit
Sarin
13.
Dr. Rohit
Sarin
14.
Dr. Rohit
Sarin
15.
Dr. Rohit
Sarin
16.
Dr. Rohit
Sarin
17.
Dr. R. K.
Dewan
18.
Dr. R. K.
Dewan
LRS Institute of TB
&
Respiratory
Disease, New Delhi
Attended workshop on Bronchology PGI, Chandigarh
during NAPCON 2007
19.
Dr. R. K.
Dewan
Attended
Effusion
20.
Dr. M. M.
Puri
Attended National Conference of
Tuberculosis and Chest Diseases
2007
New Delhi
21.
Dr. M. M.
Puri
LRS, New Delhi
22.
Dr. M. M.
Puri
Attended workshop on “ National
Consultation on Revision of
NGO/PP Guidelines
Attended State Task Force
Meeting
23.
Dr.
Sangeeta
Sharma
Dr.
Sangeeta
Sharma
Dr.
24.
25.
Attended Operational Research
Committee Meeting (North Zone)
and the meeting of the Investigators
for the RNTCP - Lymphnode Study
Attended “National Consultation
Workshop for the review of
RNTCP recording and reporting
formats”
Attended “National Conference on
Tuberculosis and Chest Diseases”
(NATCON 2007)
Participated in International
Workshop on “Management of
Drug Resistant Tuberculosis”
Participated in workshop on
“Epidemiological Impact
Assessment” organized by RNTCP
in association with WHO
Participated in Training Course on
“Managerial Skill for Technical
Officers”
Attended workshop on Thoracic
Surgery during CT-CME 2007
PGIMER
Chandigarh
11.
workshop
on
Attended CME
I.S.T.M., New
Delhi
Pleural Fortis
Hospital,
New Delhi
Attended PEDICON 2008
Attended Paediatric
Tuberculosis
NTI, Bangalore
CME
Dayanand Medical
College, Ludhiana,
Punjab
Bhubaneshwar
on Dayanand Medical
College, Ludhiana
PGIMER,
82
26.
Sangeeta
Sharma
Dr. Rajnish
Gupta
27.
Dr. Rajnish
Gupta
28.
Dr. Rajnish
Gupta
Dr. Rajnish
Gupta
29.
Chandigarh
Attended
SLEEPCON
2007
organised by Dept. of Pulmonology,
Critical Care & Sleep Medicine
Attended 6th Annual Conference of
Indian Society of Critical Care
Medicine (Delhi & NCR Chapter)
Attended Medicine Update 2007
organised by Deptt. of Medicine
Attended NAPCON 2007
Febrary
2008
VMMC
& 8th - 9th
Safdarjung Hospital Decembe
New Delhi under r 2007
aegis of ISDA
New Delhi
29th
–
th
30 Sept.
2007
AIIMS, New Delhi
5th August
2007
PGIMER,
23rd- 25th
Chandigarh
Novembe
r 2007
PGIMER,
23rd
–
th
Chandigarh, New 25
Delhi
Septemb
er 2007
New Delhi
29th –
30th
Septemb
er 2007
30.
Dr. Lokender Attended NAPCON 2007
31.
Dr. Lokender Attended 6th Annual Conference of
Indian Society of Critical Care
Medicine (Delhi & NCR Chapter)
32.
Dr. Lokender Attended Asia Pacific Conference
Max. Hospital,
Saket, New Delhi
17th -18th
Novembe
r 2007
33.
Dr. S.B.
Singh
Attended Asia Pacific Conference
Max. Hospital,
Saket, New Delhi
34.
Dr. S.B.
Singh
Attended NATCON 2007
New Delhi
35.
Dr.
Manpreet
Bhalla
36.
Dr. Upasana
Agarwal
Attended the National CME on AIIMS, New Delhi
“Drug Resistant Tuberculosis”
organised by National Task Force
for the involvement of Medical
Colleges in RNTCP
Attended ‘Best Medical Practices
New Delhi
in HIV/AIDS care’
17th -18th
Novembe
r 2007
14th -16th
Decembe
r 2007
29th
October
2007
37.
Dr. Upasana
Agarwal
Attended ‘International Conference New Delhi
on Opportunistic Pathogens in
AIDS 2008’
38.
Dr. Upasana
Attended ‘HIV Congress 2008’
83
Mumbai
18th
Novembe
r 2007
27th –
29th
January
2008
21st –
Agarwal
39.
Dr. Upasana
Agarwal
Attended training on ‘Avian
Influenza’
NICD, New Delhi
40.
Dr. Upasana
Agarwal
Represented India in the SAARC
Regional Workshop to develop/
strengthen mechanism for Cross
border activities in controlling TB
and HIV/AIDS
New Delhi
41.
Dr. J. K.
Saini
Attended NAPCON 2007
PGIMER,
Chandigarh
42.
Dr. J. K.
Saini
Attended NATCON 2007
New Delhi
43.
Dr. J. K.
Saini
Attended 6th Annual Conference of New Delhi
Indian Society of Critical Care
Medicine (Delhi & NCR Chapter)
44.
Faculty and
Resident
Doctors
Attended CT-CME Thoracic
Surgery organized under the
auspices of the Indian Association
of Cardio-vascuiar Thoracic
Surgeons.
84
23rd
March
2008
1st – 2nd
February
2008
10th –
12th
Septemb
er 2007
23rd- 25th
Novembe
r 2007
14th -16th
Decembe
r 2007
29th
–
th
30 Sept.
2007
LRS Institute of 17th – 18th
Institute
& Novembe
Respiratory
r 2007
Diseases.
New
Delhi
9.0 List of Committees [2007-2008]
9.1a : LOWER PURCHASE COMMITTEE ( for purchase / procurement of services
upto Rs.1.00 Lac only)
Dr. Sushil Munjal
Dr. Vikram Vohra
Dr. Lokender
Dr. Prakash Sharma
Shri Atul Kumar Srivastava
Incharge Procurement Cell
-
Chairman
Member
Member
Member
Member
Member Convenor
9.1 b : HIGHER PURCHASE COMMITTEE ( for purchase / procurement of services
between Rs.1 Lac – 10 Lacs only )
Dr. Rohit Sarin
Dr. Ashvini Kumar
Dr. Rakesh Kumar Aggarwal
Dr. Anil Kumar Jain
Shri Atul Kumar Srivastava
Incharge Procurement Cell
-
Chairman
Member
Member
Member
Member
Member Convenor
9.1c : STANDING PURCHASE COMMITTEE ( for purchase / procurement of services
above Rs.10.00 lacs )
Director
Dr. Rohit Sarin
Dr. Rupak Singla
Dr. Kumud Gupta
Dr. P.Vishalakshi
Shri Atul Kumar Srivastava
Representative of the IFD, MOHFW
Incharge Procurement Cell
-
Chairman
Member
Member
Member
Member
Member
Member
Member Convenor
(The above committees substitute Purchase Committee (General Store) & Purchase
Committee (Medical store)
9.2 : TECHNICAL EVALUATION COMMITTEE
Dr. Devesh Chauhan
Dr. P.Vishalakshi
Dr. M.P.Arora
Dr. Rajnish Gupta
A nominee of user department
-
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Chairman
Member
Member
Member
Member
9.3 : INSPECTION COMMITTEE - GENERAL STORE
Dr. M.M.Puri
Dr. Manpreet Bhalla
Dr. S.B.Singh
A nominee of user department
-
Member
Member
Member
Member
9.4 : INSPECTION COMMITTEE - MEDICAL STORE
Dr. Sangeeta Sharma
Dr. Rajnish Gupta
Dr. Lokender Kumar
-
Chairman
Member
Member
9.5: TENDER / QUOTATION OPENING COMMITTEE
Dr. Vikram Vohra
Dr. Kapil Kumar Mathuria
Ms. Mary Thankappan
Nominee of Accounts Section
Nominee of Administrative Section
-
Member
Member
Member
Member
Member
-
Chairman
Member
Member
Member
Member
Member Convenor
-
Chairman
Member
Member
Member
Member
-
Chairman
Member
Member
Member
9.6: CULTURAL AND SPORTS COMMITTEE
Dr. S.K.Munjal
Dr. P. Vishalakshi
Dr. Anil Jain
Ms. Manju Agarwal
Ms. Parul Agarwal
Shri N.Singh
9.7: ESTATE COMMITTEE
Dr. Ashvini Mathur
Dr. Devesh Chauhan
Shri M.B.Naidu
Shri B.R.Goomer
Shri A. Srivastava
9.8: MEDICAL BOARD
Dr. Upasna Agarwal
Dr. Rajnish Gupta
Dr. Devesh Chauhan
Dr. Kapil Kumar Mathuria
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9.9: MEDICAL REIMBURSEMENT BOARD
Dr. Kamla Verma
Dr. Rakesh Agarwal
Dr. Lokender Kumar
Dr. Prakash Sharma
-
Chairman
Member
Member
Member
-
Chairman
Member
Member
Member
Member
-
Chairman
Member
Member
Member
-
Chairman
Member
Member
Member
Member
Member
9.10: LIBRARY COMMITTEE
Dr. M.M.Puri
Dr. Sangeeta Sharma
Dr. S.B.Singh
Mr. M.B.Naidu
Shri A.K.Srivastava
9.11: CONDEMNATION COMMITTEE
Dr. Khalid Umar Khayyam
Dr. S.B.Singh
Ms. T. Percy
Shri Vijay Khera
9.12: TRAINING COMMITTEE
Dr. Rohit Sarin
Dr. Khalid U.K.
Dr. Sanjay Gupta
Dr. Lokender Kumar
Dr. Vikram Vohra
Shri M.B.Naidu
9.13: HOSPITAL INFECTION CONTROL COMMITTEE
Dr. P.Vishalakshi
Dr. Rakesh Agarwal
Dr. Upasna Agarwal
Dr. Sanjay Gupta
Ms. Mary Thankappan
-
Chairman
Member
Member
Member
Member
9.14: HOSPITAL WASTE MANAGEMENT COMMITTEE
Dr. Rohit Sarin
Dr. Ashvini Kumar
87
Chairman
Member
Dr. Manpreet Bhalla
Dr. Lokender Kumar
Dr. Vikram Vohra
Ms. Rita V. Lyall
9.15: HOSPITAL DISPOSAL COMMITTEE
-
Member
Member
Member
Member
Dr. Ashvini Kumar
Dr. Kapil Mathuria
Ms. Rita V. Lyall
Sh A. Srivastava
-
Chairman
Member
Member
Member
-
Chairman
Member
Member
-
Chairman
Member
Member
Member
Member
-
Chairman
Member
Member
Member
Member
Member
9.16: TRANSPORT REPAIR COMMITTEE
Dr. Khalid U.K.
Dr. S.B.Singh
Shri B.R.Goomer
9.17: EQUIPMENT REPAIR COMMITTEE
Dr. Anand Jaiswal
Dr. Visalakshi
Dr. Rajnish Gupta
Dr.Kapil Kumar Mathuria
Sh A. Srivastava
9.18: ANNUAL REPORT COMMITTEE
Dr. Kamla Verma
Dr. Rajnish Gupta
Dr. Vikram Vohra
Shri P.P.Sharma
Shri B.R.Goomer
Shri G.V. Raju
9.19: COMMITTEE TO LOOK INTO THE COMPLAINTS OF SEXUAL HARASSMENT
Dr. Kamla Verma
Dr. Prakash Sharma
Dr. Pratibha Mishra
Ms. T.Percy
-
Chairman
Member
Member
Member
9.20: COMMITTEE FOR BETTERMENT OF THE SERVICES TO BE TAKEN FROM
THE CANTEEN CONTRACTOR
Dr. S.K.Munjal
Shri M.B.Naidu
Shri B.R.Goomer
88
Chairman
Member
Member
9.21: OFFICIAL LANGUAGE IMPLEMENTATION COMMITTEE
Dr. Anand Jaiswal
Shri B.R.Goomer
Junior Hindi Translator
Shri Kuldeep Upadhyay
-
Chairman
Member
Member
Member
9.22: WELFARE COMMITTEE
Dr. Rakesh Agarwal
Shri B.R.Goomer
Dr. Pratibha Mishra
Shri N.Singh
-
Chairman
Member
Member
Member
-
Chairman
Member
Member
Member
9.23: HOUSE ALLOTMENT COMMITTEE
Dr. Kumud Gupta
Dr. Sanjay Gupta
Shri B.R.Goomer
Sh A. Srivastava
9.24: COMMITTEE FOR ADVANCE ON ESTABLISHMENT MATTERS
Dr. R.K.Dewan
Shri B.R.Goomer
Sh A. Srivastava
Shri Vijay Bhatt
-
Chairman
Member
Member
Member
-
Chairman
Member
Member
-
Chairman
Member
Member
Member
Member
Member
Member
9.25: PUBLIC GRIEVANCE COMMITTEE
Dr. Anand Jaiswal
Dr. Khalid U.K.
Shri B..R.Goomer
9.26: RESEARCH COMMITTEE
Director
Dr. Rohit Sarin
Dr. R.K.Dewan
Dr. Rupak Singla
Dr. Ashvini Kumar
Dr. P.Vishalakshi
Dr. Upasna Agarwal
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9.27: ETHICAL COMMITTEE
Director
Dr. Rohit Sarin
Dr. Pratibha Mishra
Dr. Thangsing Chinkola
Ms. Sudha Srivastava
Dr. V.K.Dhingra
Dr. Deep Kumar
Shri S.C.Goyal
Shri Ravi Sikri
-
Chairman
Member
Member
Member
Member
Member
Member
Member
Member
9.28: DISASTER MANAGEMENT COMMITTEE
Dr. Rupak Singla
Dr. Rajnish Gupta
Shri B.R.Goomer
Ms. Rita V. Lyall
Shri S.N.Punia
-
Chairman
Member
Member
Member
Member
Director
All HODs and Specialists
All Medical Officers
Dr. Anand Jaiswal
-
Chairman
Member
Member
Member Secretary
9.30 PG COMMITTEE
Director
Dr. Rupak Singla
Dr. Anand Jaiswal
Dr. M. M. Puri
-
Chairman
Member
Member
Member
9.31 MEDICAL EDUCATION UNIT
Dr. Rupak Singla
Dr. Anand Jaiswal
All other Specialists
HOD Microbiology
HOD Pathology
HOD Radiology
-
Chairman
Member
Members
Member
Member
Member
9.29
COLLEGE COUNCIL
90
10.0

Other Activities of Institute
World Asthma Day was organized on 1st May 2007. Dr. A. Jaiswal delivered the key
lecture on causes and management of asthma for the benefit of patients as well as
staff. Skills were also organized to emphasize the necessary message
Photo – 1 (a), (b)

Nursing Day was celebrated on Florence Nightingale’s birthday on 12 th May 2007 by
the traditional lighting of lamp and messages from the Director and senior faculty.
Photo – 2
91

No Tobacco Day was celebrated on 31st May 2007. Lectures were organized in the
Institute on this day to mark our commitment to free the world from the scourge of
tobacco.
Photo – 3 (a), (b)

Founder’s Day was celebrated on 15th March 2008 to commemorate the occasion
when Countess Mountbatten of Burma laid the stone on 16 th March 1956.
Photo - 4
92

World TB Day was celebrated on 24th March 2008 in the Institute with great fervor and
enthusiasm. The program was designed to address and throw light on the critical
issues concerning TB and its ill effects. The slogan this year was ‘I am controlling TB’
to underscore the involvement of all members of community in TB control.
Photo - 5
93
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